Organization Active NPI

Gladstone Telehealth PLLC

Doing business as AmeriClinic Kids

  • Urgent Care Clinic/Center
  • The Woodlands, TX
National Provider Identifier
1376113035
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GLADSTONE TELEHEALTH PLLC
Doing business as
AmeriClinic Kids
Practice address
4775 W Panther Creek Dr Ste C300
The Woodlands, TX 77381-3592
Phone
(346) 331-3372
Fax
(866) 572-2503
NPI assigned
Jun 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Dr. Andrew S Butler, MDNPI 1245385079
Title
Managing Principal
Phone
(346) 331-3372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

4775 W Panther Creek Dr Ste C300
The Woodlands, TX 77381-3592

Mailing address

4775 W Panther Creek Dr Ste C300
The Woodlands, TX 77381-3592
Phone (346) 331-3372

Other names 1

  • AmeriClinic Kids Doing business as

National Provider Directory

National Provider Directory

Locations

26203 Oak Ridge Dr
The Woodlands, TX 77380
Phone (281) 384-7398

25420 Kuykendahl Rd
Ste B100115
The Woodlands, TX 77375
Phone (346) 331-3372

4775 W Panther Creek Dr
Ste C300
The Woodlands, TX 77381
Phone (346) 331-3372

4775 W Panther Creek Dr
The Woodlands, TX 77381
Phone (281) 292-1192

25420 Kuykendahl Rd
Ofc 115
Tomball, TX 77375

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1376113035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR STE C300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "346-331-3372",
            "fax_number": "281-789-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR STE C300",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "346-331-3372",
            "fax_number": "866-572-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADSTONE TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING PRINCIPAL",
        "authorized_official_telephone_number": "346-331-3372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmeriClinic Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.