Winnie Community Hospital LLC
Organization Active NPI Interventional Pain Medicine Physician · Nederland, TX
NPI 1316623481 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1316623481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- WINNIE COMMUNITY HOSPITAL LLC
- Practice address
- 2400 Highway 365 Ste 208
Nederland, TX 77627-6250 - Phone
- (409) 724-7904
- Fax
- (409) 226-3374
- NPI assigned
- Jun 23, 2023
- Organization subpart
- No
Authorized official
- Name
- Mr. M. Tahir Javed
- Title
- Ceo
- Phone
- (409) 730-8054
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 10
Practitioners 56
-
Amy Anderson, AGACNP-BC
-
Leonidas S Andres, M.D.
-
Zagum A Bhatti, M.D.
-
Dale Wayne Brock, APN
-
Angela Marie Brooks, FNP-C
-
Susan Lynn Burrow, APRN
-
Mathew Cherian, MSN, AG-ACNP
-
Chelsi Renee Clayton, FNP
-
Jennifer Lee East, FNP
-
Kevin Wayne Farris, M.D
-
Amy Featherston, NP
-
Sushanta K. Goswami, M.D.
-
Edward Brown Gripon, M.D.
-
Sara E Hollier, FNP-C
-
Robert C. Hood, M.D.,F.R.C.P.C.
-
Momin Islam, MD
-
Jessica Joline Kvasnicka, PMHNP-BC
-
Katherine E Landor, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000349 | TX | Part B Supplier - Clinic/Group Practice | 3375440894 |
Receives reassigned benefits from 31 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winnie, TX; Vidor, TX; Silsbee, TX; Port Arthur, TX; Nederland, TX; Beaumont, TX |
National Provider Directory
- Tax ID family
- Winnie Community Hospital LLC
Locations
2014 S Wheeler St
Jasper, TX 75951
Phone (409) 384-5461
2400 Highway 365
Ste 112
Nederland, TX 77627
Phone (409) 724-7900
2501 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 727-7342
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | |||
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
2400 Highway 365 Ste 208
Nederland, TX 77627-6250
Mailing address
538 Broadway
Winnie, TX 77665-7600
Phone (409) 296-6000
Other practice location 1
2501 Jimmy Johnson Blvd Ste 401
Port Arthur, TX 77640-2013
Phone (409) 554-0545
Other practice location 2
87 Ih 10 N Ste 200
Beaumont, TX 77707-2559
Phone (409) 554-0545
Other practice location 3
2014 S Wheeler St Ste 170
Jasper, TX 75951-5627
Phone (409) 554-0545
Other names
- Riceland Pain Clinic
Other providers in Nederland, TX
- Rodna Sue Willett
- William J. Novelli, Jr., MD, PA
- Kara Ashley Williamson
- Kathryn S. Williamson
- Mary Wilson
- Workforce Rehabilitation Center
- Donna L Zollers
All providers in Nederland, TX · Interventional Pain Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.