Panther Creek Medical Center P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PANTHER CREEK MEDICAL CENTER P.A.

Practice address

4775 W Panther Creek Dr
Suite 345
The Woodlands, TX 77381-3592

Phone

(281) 292-1192

Fax

(281) 367-0396

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Donald E Stillwagon, M.D.

Title

President

Phone

(281) 292-1192

Specialties & licenses 1

Addresses

Other names 1

• Village Medical Center Other name

Locations

Practitioners 1

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.

• Shannon Laine Varner, PA-C

  • Physician Assistant
  • The Woodlands, TX
  • NPI 1114354206
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487762126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR",
            "address_2": "SUITE 345",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "281-292-1192",
            "fax_number": "281-367-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 W PANTHER CREEK DR",
            "address_2": "SUITE 345",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813592",
            "telephone_number": "281-292-1192",
            "fax_number": "281-367-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTHER CREEK MEDICAL CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STILLWAGON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-292-1192",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Painter's Home Care, LLC
• Leonardo A Palau, MD
• Ann Marguerite Palker-Corell, PH.D.
• Swati Pande, M.D.
• Panther Creek Family Dentistry
• Nicholas Alexander Pappas, DDS, MSD
• Parakaleo Counseling Services PLLC
• Monica Pardo
• Joanne S Parham, PHD
• Stephen J Parham, PHD

• Family Medicine Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.