Conroe ASC, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CONROE ASC, LP

Practice address

17183 1-45 South
Suite 360
The Woodlands, TX 77385

Phone

(936) 321-0080

NPI assigned

Aug 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Marie Bemis

Title

Authorized Official

Phone

(858) 504-5667

Specialties & licenses 1

Addresses

Other names 1

• College Park Heart & Vascular Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Conroe ASC LP Dba College Park Heart and Vascular Surgery CenterCCN 45C0001613

Medicare certification status

ActiveFrom the Provider of Services file

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Cardiac Cath Lab of Conroe, LP

  • Multi-Specialty Clinic/Center
  • Shenandoah, TX
  • NPI 1194005603

  Member Of

  NPD member
• Integral Cardiovascular Center PLLC

  • Interventional Cardiology Physician
  • Spring, TX
  • NPI 1740598580

  Member Of

  NPD member
• Medvest Inc

  • Community/Retail Pharmacy
  • Houston, TX
  • NPI 1740291236

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali N Rizvi, MD

  • Interventional Cardiology Physician
  • Shenandoah, TX
  • NPI 1811959125
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1194271338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 6013, PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 1-45 SOUTH",
            "address_2": "SUITE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77385",
            "telephone_number": "936-321-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "858-504-5667"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Park Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "College Park Heart & Vascular Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Comprehensive Cardiovascular Care of the Woodlands, P.a.
• Concierge Health Partners PLLC
• Concierge Sleep Solutions, LLC
• Karen M Condon, PTA
• Connect Psychological Services PLLC
• Christy Lynn Constantin, DC
• Maurice Samuel Conte, M D
• Continuum Home Health LLC
• Ira Convalecer, PT
• Robert H Cook-Norris, MD

• Ambulatory Surgical Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.