Active NPI
Ivy Q Bishop, PA-C
- Physician Assistant
- Lake Jackson, TX
National Provider Identifier
1427459239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 100 Medical Dr
Lake Jackson, TX 77566-5674 - Phone
- (979) 297-4411
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA09329 | TX | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
100 Medical Dr
Lake Jackson, TX 77566-5674
Mailing address
4835 LBJ Fwy
Dallas, TX 75244-6005
Phone (469) 420-5529
Other practice location 1
6400 Fannin St Ste 2800
Houston, TX 77030
Phone (713) 704-7100
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Family Practice, L.L.P | Current | Accepting new patients |
Locations
9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954
11914 Astoria Blvd
Ste 185
Houston, TX 77089
Phone (281) 481-8900
Interoperability endpoints
- ivy.bishop.1@13711.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1841643327
-
- Hospitalist Physician
- Dallas, TX
- NPI 1194483933
-
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1265096317
-
- Family Medicine Physician
- Houston, TX
- NPI 1083619191
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1427459239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4835 LBJ FWY",
"city": "DALLAS",
"state": "TX",
"postal_code": "752446005",
"telephone_number": "469-420-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL DR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665674",
"telephone_number": "979-297-4411"
}
],
"practiceLocations": [
{
"address_1": "6400 Fannin St Ste 2800",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-704-7100",
"fax_number": "713-704-7150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "IVY",
"middle_name": "Q",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA09329",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.