Ketamine MD Anesthesia PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

KETAMINE MD ANESTHESIA PLLC

Practice address

3786 FM 1488 Rd Ste 120
Conroe, TX 77384-4986

Phone

(214) 390-7697

Fax

(972) 432-6692

NPI assigned

Jul 24, 2024

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adnan Shaikh

Title

Admin

Phone

(214) 390-7697

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1356179949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 STONEBROOK PKWY STE 1104-245",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750361179",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 FM 1488 RD STE 120",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844986",
            "telephone_number": "214-390-7697",
            "fax_number": "972-432-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE MD ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "ADNAN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "214-390-7697"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Michelle Kent, CNA
• Kara Kern, M.D.
• Alexis Hekele Kerr
• Gloria E Kessler, LPC, LCDC
• Ketamine Crna Anesthesia PLLC
• Michelle Ketrick, SLP
• Lowell Lane Ketron, M.D.
• Kevak Medical Transport LLC
• Kevin M Smith Orthopaedics PLLC
• Nakooma Kewenvoyouma

• Anesthesiology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.