Active NPI
Jeffrey Mansfield-Walker
- Anesthesiologist Assistant
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 504 Medical Center Blvd
Conroe, TX 77304-2808 - Phone
- (936) 539-1111
- NPI assigned
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | TX | Primary |
Addresses
Primary practice location
504 Medical Center Blvd
Conroe, TX 77304-2808
Mailing address
3121 Buffalo Speedway Apt 8302
Houston, TX 77098-1840
Phone (281) 796-6606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3601 4TH St
Lubbock, TX 79430-9410
Phone (806) 743-3150
Hospital & facility affiliations
- University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Independent Physicians Network PLLC | Current | Accepting new patients | |
| Pediatric Dentistry of Keller PLLC | Past | Accepting new patients |
Locations
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500
3625 N Hall St
Ste 800
Dallas, TX 75219
Phone (214) 252-3500
5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065
3800 N Shepherd Dr
Ste B
Houston, TX 77018
Phone (832) 331-2969
1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Organizations & group practices 5
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.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
-
- Pediatric Dentistry
- Keller, TX
- NPI 1750934253
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1225710486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 BUFFALO SPEEDWAY APT 8302",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770981840",
"telephone_number": "281-796-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-539-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD-WALKER",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.