Memorial Multispecialty Associates

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEMORIAL MULTISPECIALTY ASSOCIATES

Practice address

8558 Creekside Forest Dr
The Woodlands, TX 77375-2175

Phone

(713) 798-1128

NPI assigned

May 22, 2006

Organization subpart

No

Name

Richard C Allison III

Title

Director

Phone

(713) 798-1746

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Hensarling, APRN, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1366176695

  Family

  NPD
• Jamie S Huckabee, APRN, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1609222785

  Family

  NPD
• Shelby Lynn Shelton, CNM

  • Midwife
  • Lufkin, TX
  • NPI 1407568165
  NPD
• Baraa Al-Hafez, M.D

  • Neurological Surgery Physician
  • Houston, TX
  • NPI 1750596904
  NPD (past)
• Michael H Belgard, PA

  • Medical Physician Assistant
  • Center, TX
  • NPI 1063503449

  Single Specialty

  NPD (past)
• Maria Magdalena Blalock, FNP

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1114813805

  Family

  NPD (past)
• Jose Miguel Carranza Chavez, MD

  • Internal Medicine Physician
  • Lufkin, TX
  • NPI 1497107155
  NPD (past)
• Michael Coburn, M.D.

  • Urology Physician
  • Houston, TX
  • NPI 1881784536
  NPD (past)
• Amy Elizabeth Conrad, NP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1174270144

  Family

  NPD (past)
• Michael Eddins, FNP-C

  • Nurse Practitioner
  • Lufkin, TX
  • NPI 1558881466
  NPD (past)
• Stacie L Edwards, APRN, FNP-C

  • Family Nurse Practitioner
  • San Augustine, TX
  • NPI 1710728837

  Family

  NPD (past)
• Annysue Crystalin Emmons, DNP, FNP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1336606201

  Family

  NPD (past)

Locations

• Baylor St. Luke's Medical Group - Urgent Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2020.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1295789337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREENWAY PLZ STE 900",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770460205",
            "telephone_number": "713-798-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8558 CREEKSIDE FOREST DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773752175",
            "telephone_number": "713-798-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MULTISPECIALTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-798-1746",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0020BV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080151601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor St. Luke's Medical Group - Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Memorial Hermann Health System
• Memorial Hermann Surgery Center - the Woodlands, LLP
• Memorial Hermann Surgery Center Pinecroft, LLC
• Memorial Hermann Surgery Center Woodlands Parkway, LLC
• Memorial Medical Center
• Memorial TC LLC
• Janice Mercilliott, CPNP-PC
• Jennifer Meredith, LCSW
• Meredith Mermigas, PHARMD
• Kara Renae Merrill, LPC

• All providers in The Woodlands, TX
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.