Active NPI
Lowell Lane Ketron, M.D.
- Interventional Cardiology Physician
- Conroe, TX
National Provider Identifier
1346504073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- S6423
- Practice address
- 100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821 - Phone
- (936) 441-9680
- Fax
- (936) 539-9685
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | S6423 | TX | |
| Interventional Cardiology Physician | 207RI0011X | S6423 | TX | Primary |
Addresses
Primary practice location
100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Mailing address
100 Medical Center Blvd Ste 200
Conroe, TX 77304-2821
Phone (936) 441-9680
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Medical Office Park
Suite a 2
Huntsville, TX 77340
Phone (936) 978-0466
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
- Huntsville Memorial Hospital
- Memorial Hermann Hospital System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Living Heart and Vascular PLLC | Interventional Cardiology | Current | Accepting new patients |
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Locations
603 S Conroe Medical Dr
Ste 140
Conroe, TX 77304
Phone (936) 978-0466
116 Medical Park Ln
Ste A
Huntsville, TX 77340
Phone (832) 813-8074
116 Medical Park Ln
Ste A2
Huntsville, TX 77340
Phone (936) 441-9680
9305 Pinecroft Dr
Ste 301
The Woodlands, TX 77380
Phone (281) 592-9992
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1518742121
-
- Cardiovascular Disease Physician
- Conroe, TX
- NPI 1396935714
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
-
- General Acute Care Hospital
- Huntsville, TX
- NPI 1245878990
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1346504073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773042821",
"telephone_number": "936-441-9680",
"fax_number": "936-539-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER BLVD STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773042821",
"telephone_number": "936-441-9680",
"fax_number": "936-539-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETRON",
"first_name": "LOWELL",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "S6423",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "TX",
"license": "S6423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.