Organization Active NPI

Fit & Well, MD, PLLC

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1235762303
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FIT & WELL, MD, PLLC
Practice address
4701 FM 2920 Rd Ste A2
Spring, TX 77388-3111
Phone
(281) 729-6481
NPI assigned
Feb 18, 2020
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Afua Agyarko, MDNPI 1023219862
Title
Owner
Phone
(214) 334-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4701 FM 2920 Rd Ste A2
Spring, TX 77388-3111

Mailing address

4701 FM 2920 Rd Ste A2
Spring, TX 77388-3111
Phone (281) 729-4481

Other practice location 1

6617 Fm 2920 Rd
Spring, TX 77379-2636
Phone (281) 729-6481

Other names 1

  • Fit & Well, MD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://spruce.care/genesisnutrition Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211112000722 TX MDPP Supplier - in-Person MDPP Supplier 3577992841 Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

4701 FM 2920 Rd
Ste A2
Spring, TX 77388
Phone (281) 729-6481

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1235762303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 FM 2920 RD STE A2",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883111",
            "telephone_number": "281-729-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 FM 2920 RD STE A2",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883111",
            "telephone_number": "281-729-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6617 Fm 2920 Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773792636",
            "country_code": "US",
            "telephone_number": "281-729-6481",
            "fax_number": "832-234-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIT & WELL, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "AGYARKO",
        "authorized_official_first_name": "AFUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-334-4280",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://spruce.care/genesisnutrition",
            "affiliation": "N",
            "endpointDescription": "spruce email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4701 Fm 2920 Rd Ste A2",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773883111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fit & Well, MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fit & Well, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.