NPIMap

Organization Active NPI

Fadi G. Ghanem, MD PA

Doing business as Maternal and Family Clinic

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1386868875
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H8071 Issued in TX
Legal business name
FADI G. GHANEM, MD PA
Doing business as
Maternal and Family Clinic
Practice address
1111 Medical Plaza Dr
Suite 230
The Woodlands, TX 77380-3476
Phone
(281) 419-1599
Fax
(281) 898-7632
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Authorized official

Name
Dr. Fadi G Ghanem, M.D.NPI 1093700932
Title
President
Phone
(281) 419-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H8071 TX Primary
Clinical Medical Laboratory 291U00000X H8071 TX

Addresses

Primary practice location

1111 Medical Plaza Dr
Suite 230
The Woodlands, TX 77380-3476

Mailing address

PO Box 7727
Spring, TX 77387-7727
Phone (281) 419-1599

Other identifiers 2

IdentifierTypeStateIssuer
0806481-01MedicaidTX
00013DMOtherTXBCBS GROUP

Other names 1

  • Maternal and Family Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1111 Medical Plaza Dr
Ste 230
The Woodlands, TX 77380
Phone (281) 419-1599

27854 Interstate 45 N
The Woodlands, TX 77385
Phone (281) 364-7242

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439856000000",
    "number": "1386868875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7727",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773877727",
            "telephone_number": "281-419-1599",
            "fax_number": "281-898-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DR",
            "address_2": "SUITE 230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803476",
            "telephone_number": "281-419-1599",
            "fax_number": "281-898-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI G. GHANEM, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-08-18",
        "status": "A",
        "authorized_official_last_name": "GHANEM",
        "authorized_official_first_name": "FADI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-419-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8071",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "H8071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0806481-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "00013DM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal and Family Clinic",
            "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 Aug 18, 2015; 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.