Active NPI
Kingwood Neurology and Sleep PA
- Neurology Physician
- Kingwood, TX
National Provider Identifier
1457541237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- KINGWOOD NEUROLOGY AND SLEEP PA
- Practice address
- 320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339 - Phone
- (281) 359-5981
- Fax
- (281) 359-3591
- NPI assigned
- Jul 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wendell Grogan, M.D.
- Title
- President
- Phone
- (281) 359-5981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
320 Kingwood Executive Dr
Ste E
Kingwood, TX 77339
Mailing address
PO Box 9547
Belfast, ME 04915-9547
Phone (281) 359-5981
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172034401 | Medicaid | TX |
Other names 1
- Kingwood Neurology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
22999 Highway 59 N
#B
Kingwood, TX 77339
Phone 2813595981223
22999 Highway 59 N
Ste 416
Kingwood, TX 77339
Phone (281) 359-5981
Interoperability endpoints
- https://api.platform.athenahealth.com/2618/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Kingwood, TX
- NPI 1235337254
-
- Neurology Physician
- Kingwood, TX
- NPI 1447454012
-
- Family Nurse Practitioner
- Kingwood, TX
- NPI 1275290728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725840000000",
"number": "1457541237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9547",
"city": "BELFAST",
"state": "ME",
"postal_code": "049159547",
"telephone_number": "281-359-5981",
"fax_number": "281-359-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 KINGWOOD EXECUTIVE DR",
"address_2": "STE E",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "77339",
"telephone_number": "281-359-5981",
"fax_number": "281-359-3591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINGWOOD NEUROLOGY AND SLEEP PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-27",
"last_updated": "2024-09-09",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "GROGAN",
"authorized_official_first_name": "WENDELL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-359-5981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172034401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kingwood Neurology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kingwood Neurology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.