Individual provider Active NPI

Mary Elizabeth Cavnar-Johnson, M.D.

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1467569400
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H 2293 Issued in TX
Practice address
201 Kingwood Medical Drive
Ste B500
Kingwood, TX 77339
Phone
(281) 358-5574
Fax
(281) 358-9677
NPI assigned
Aug 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H 2293 TX Primary

Addresses

Primary practice location

201 Kingwood Medical Drive
Ste B500
Kingwood, TX 77339

Mailing address

201 Kingwood Medical Drive
Ste B500
Kingwood, TX 77339
Phone (281) 358-5574

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000651 TX Practitioner - General PracticePractitioner - Family Practice 3274674015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

22001 Northpark Dr
Suite 220
Kingwood, TX 77339-3811
Phone (281) 319-8303

2255 E Mossy Oaks Rd
Suite 500
Spring, TX 77389-1813
Phone (281) 440-5300

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6021

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6024
Phone (281) 440-5300

9303 Pinecroft Dr
The Woodlands, TX 77380-3180
Phone (281) 440-5300

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Kingwood, TX, CCN 679720
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Pam Rehabilitation Hospital of Clear Lake Inpatient rehabilitation facility, Webster, TX, CCN 673061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H 2293TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Jan 1, 2019 Accepting new patients
David P Ellent PLLC CurrentSince Jan 1, 2019 Accepting new patients
Millennium Physicians Association, PLLC Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

130 Medical Center Pkwy
Ste 9
Huntsville, TX 77340
Phone (936) 439-0111

22751 Professional Dr
Ste 270
Kingwood, TX 77339
Phone (281) 358-0171

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

350 Kingwood Medical Dr
Ste 250
Kingwood, TX 77339

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mary.cavnar.johnson.1@19704.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1467569400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DRIVE",
            "address_2": "STE B500",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-5574",
            "fax_number": "281-358-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 KINGWOOD MEDICAL DRIVE",
            "address_2": "STE B500",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-358-5574",
            "fax_number": "281-358-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVNAR-JOHNSON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H 2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.