Active NPI
Gayana Grigoryan Roland, D.O.
- Emergency Medicine Physician
- Porter, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB10012400
- Practice address
- 21898 FM 1314 Rd # B
Porter, TX 77365-7061 - Phone
- (281) 354-2417
- NPI assigned
- Sep 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R5561 | TX | |
| Emergency Medicine Physician | 207P00000X | 25MB10012400 | NJ | Primary |
Addresses
Primary practice location
21898 FM 1314 Rd # B
Porter, TX 77365-7061
Mailing address
4949 W Davis St Apt 8303
Conroe, TX 77304-5334
Phone (913) 579-4616
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2545
Phone (913) 579-4616
Other practice location 2
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
Other practice location 3
2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hermann Hospital Based Physician Group | Emergency Medicine | Current | Accepting new patients |
| Diverse Community Healthcare PLLC | Current | Accepting new patients | |
| Unity Hospitalist Group PLLC | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Angelina Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
Locations
2000 S Palestine St
Athens, TX 75751
Phone (903) 675-2216
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276
2555 Gulf Fwy S
#C1100
League City, TX 77573
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200
16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000
2701 US Highway 271 N
Pittsburg, TX 75686
Phone (903) 946-5000
21693 FM 1314 Rd
Ste 400
Porter, TX 77365
21898 FM 1314 Rd
#B
Porter, TX 77365
Phone (281) 747-7495
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Lufkin, TX
- NPI 1518397298
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Internal Medicine Physician
- Porter, TX
- NPI 1295291367
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
- Internal Medicine Physician
- Porter, TX
- NPI 1730791773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1225464860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 W DAVIS ST APT 8303",
"city": "CONROE",
"state": "TX",
"postal_code": "773045334",
"telephone_number": "913-579-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21898 FM 1314 RD # B",
"city": "PORTER",
"state": "TX",
"postal_code": "773657061",
"telephone_number": "281-354-2417"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "913-579-4616",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "223 N Van Dien Ave",
"address_purpose": "LOCATION",
"city": "Ridgewood",
"state": "NJ",
"postal_code": "074502726",
"country_code": "US",
"telephone_number": "201-447-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2801 Franciscan Dr",
"address_purpose": "LOCATION",
"city": "Bryan",
"state": "TX",
"postal_code": "778022544",
"country_code": "US",
"telephone_number": "979-776-3777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIGORYAN ROLAND",
"first_name": "GAYANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-15",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R5561",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB10012400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Porter, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.