Active NPI
Woodrome Medical PA
- Family Medicine Physician
- Splendora, TX
National Provider Identifier
1265460919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WOODROME MEDICAL PA
- Practice address
- 14006 Old Highway 59 N
Splendora, TX 77372-6302 - Phone
- (281) 689-6901
- Fax
- (281) 689-6779
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 19, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Gale Woodrome, MD
- Title
- Owner
- Phone
- (936) 327-9944
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | |||
| Legal Medicine | 173000000X | L1499 | TX | |
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
14006 Old Highway 59 N
Splendora, TX 77372-6302
Mailing address
PO Box 1939
Livingston, TX 77351-0037
Phone (936) 327-9944
Other practice location 1
106 W. Main St
Trinity, TX 75862
Phone (936) 744-0061
Other practice location 2
1930 US Highway 190 W
Livingston, TX 77351-9600
Phone (936) 327-9944
Other practice location 3
613 W Bluff St
Woodville, TX 75979-5125
Phone (409) 331-1000
Other practice location 4
1321 S Byrd Ave
Shepherd, TX 77371-3279
Phone (936) 628-1694
Other practice location 5
2306 W Frank Ave Ste A
Lufkin, TX 75904-3599
Phone (936) 465-9930
Other practice location 6
14181 US Highway 190 W
Onalaska, TX 77360-8091
Phone (936) 646-7541
Other practice location 7
1930 US Highway 190 W
Livingston, TX 77351-9600
Phone (936) 327-9944
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265476998 | Other | TN | NPI # |
| 8V4300 | Other | TX | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201 State Highway 150
Ste A
Coldspring, TX 77331
Phone (936) 653-2402
11 Carrier Ave
Shepherd, TX 77371
1231 S Byrd Ave
Shepherd, TX 77371
16 N Liberty
Shepherd, TX 77371
Phone (936) 628-1694
613 W Bluff St
Woodville, TX 75979
Phone (409) 283-3739
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHCBCA
Practitioners & affiliated clinicians
Practitioners 22
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.
-
- Family Nurse Practitioner
- Livingston, TX
- NPI 1144628157
-
- Nurse Practitioner
- Livingston, TX
- NPI 1356893242
-
- Family Nurse Practitioner
- Kingwood, TX
- NPI 1225651219
-
- Family Nurse Practitioner
- Humble, TX
- NPI 1457993065
-
- Family Nurse Practitioner
- Spring, TX
- NPI 1538508163
-
- Family Nurse Practitioner
- Lufkin, TX
- NPI 1609529700
-
- General Practice Physician
- Tomball, TX
- NPI 1720216443
-
- Family Medicine Physician
- Magnolia, TX
- NPI 1336238815
-
- Family Nurse Practitioner
- Livingston, TX
- NPI 1972060390
-
- Family Nurse Practitioner
- Pasadena, TX
- NPI 1366003246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697673600000",
"number": "1265460919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1939",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773510037",
"telephone_number": "936-327-9944",
"fax_number": "936-327-9945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14006 OLD HIGHWAY 59 N",
"city": "SPLENDORA",
"state": "TX",
"postal_code": "773726302",
"telephone_number": "281-689-6901",
"fax_number": "281-689-6779"
}
],
"practiceLocations": [
{
"address_1": "106 W. Main St",
"address_purpose": "LOCATION",
"city": "Trinity",
"state": "TX",
"postal_code": "75862",
"country_code": "US",
"telephone_number": "936-744-0061",
"fax_number": "936-744-0026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 US Highway 190 W",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "TX",
"postal_code": "773519600",
"country_code": "US",
"telephone_number": "936-327-9944",
"fax_number": "936-327-9945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "613 W Bluff St",
"address_purpose": "LOCATION",
"city": "Woodville",
"state": "TX",
"postal_code": "759795125",
"country_code": "US",
"telephone_number": "409-331-1000",
"fax_number": "409-331-1003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1321 S Byrd Ave",
"address_purpose": "LOCATION",
"city": "Shepherd",
"state": "TX",
"postal_code": "773713279",
"country_code": "US",
"telephone_number": "936-628-1694",
"fax_number": "936-628-3109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2306 W Frank Ave Ste A",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759043599",
"country_code": "US",
"telephone_number": "936-465-9930",
"fax_number": "936-899-5950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14181 US Highway 190 W",
"address_purpose": "LOCATION",
"city": "Onalaska",
"state": "TX",
"postal_code": "773608091",
"country_code": "US",
"telephone_number": "936-646-7541",
"fax_number": "936-646-7543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1930 US Highway 190 W",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "TX",
"postal_code": "773519600",
"country_code": "US",
"telephone_number": "936-327-9944",
"fax_number": "936-327-9945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOODROME MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A",
"authorized_official_last_name": "WOODROME",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "GALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-327-9944",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "TX",
"license": "L1499",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "1265476998",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "8V4300",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Splendora, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.