Individual provider Active NPI

Pamela C Oconnor, MD

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1265413256
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0199 Issued in TX
Practice address
3115 College Park Dr
Suite 106
The Woodlands, TX 77384-4000
Phone
(936) 271-2555
Fax
(936) 271-2557
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0199 TX Primary
Sports Medicine (Family Medicine) Physician 207QS0010X M0199 TX

Addresses

Primary practice location

3115 College Park Dr
Suite 106
The Woodlands, TX 77384-4000

Mailing address

3115 College Park Dr
Suite 106
The Woodlands, TX 77384-4000
Phone (936) 271-2555

Other names 1

  • Pamela C Heston Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050411000936 TX Practitioner - Family PracticePractitioner - Sports Medicine 3476590506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
College Park Medicine,PA Family Medicine CurrentSince Jul 7, 2011 Accepting new patients
Airrosti Rehab Centers, LLC Past Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Sports Medicine Past Accepting new patients
Sterling Ridge Orthopaedics and Sports Medicine, LLC Past Accepting new patients

Locations

690 S Loop 336 W
Ste 140
Conroe, TX 77304
Phone (936) 441-0046

5834 Louetta Rd
Ste F
Spring, TX 77379
Phone (832) 698-4291

3115 College Park Dr
Ste 106
The Woodlands, TX 77384
Phone (936) 271-2555

17191 St Lukes Way
Ste 200
The Woodlands, TX 77384
Phone (936) 271-2555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1265413256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 106",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-271-2555",
            "fax_number": "936-271-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 106",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-271-2555",
            "fax_number": "936-271-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "PAMELA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0199",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M0199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HESTON",
            "middle_name": "C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.