Kingwood Health and Wellness

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

AP128724 Issued in TX

Legal business name

KINGWOOD HEALTH AND WELLNESS

Practice address

1543 Green Oak PL
Kingwood, TX 77339-2007

Phone

(281) 852-1800

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Jason Demattia, M.D.

Title

Medical Supervisor

Phone

(281) 852-1800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Justin Morgan, FNP

  • Family Nurse Practitioner
  • Kingwood, TX
  • NPI 1316396708
  NPD (past)

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1366891749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 GREEN OAK PL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 GREEN OAK PL",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392007",
            "telephone_number": "281-852-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "DEMATTIA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEDICAL SUPERVISOR",
        "authorized_official_telephone_number": "281-852-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "AP128724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingwood Family Dentistry
• Kingwood Family Medicine, PA
• Kingwood Family Practice Associates
• Kingwood Family Vision Center PLLC
• Kingwood Healing Hands Wound Care
• Kingwood Home Health Care, LLC
• Kingwood Hospice LLC
• Kingwood Infusion Center PLLC
• Kingwood Marbach Family Dental PLLC
• Kingwood Medical Center

• Medical Specialty Clinic/Center in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.