NPIMap

Organization Active NPI

Modern Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • The Woodlands, TX
National Provider Identifier
1497012231
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P1211 Issued in TX
Legal business name
MODERN RADIOLOGY ASSOCIATES, PLLC
Practice address
1 Waterway Ave
Suite 1303
The Woodlands, TX 77380-3449
Phone
(713) 818-7481
Fax
(832) 442-5377
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Chad Thomas Porter, M.D.NPI 1669652665
Title
President/Radiologist
Phone
(713) 818-7481

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X P1211 TX
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X P1211 TX Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X P1211 TX

Addresses

Primary practice location

1 Waterway Ave
Suite 1303
The Woodlands, TX 77380-3449

Mailing address

1 Waterway Ave
Suite 1303
The Woodlands, TX 77380-3449
Phone (713) 818-7481

National Provider Directory

National Provider Directory

Locations

25440 Interstate 45 N
Ste 200
The Woodlands, TX 77386
Phone (713) 429-5919

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1497012231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WATERWAY AVE",
            "address_2": "SUITE 1303",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803449",
            "telephone_number": "713-818-7481",
            "fax_number": "832-442-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATERWAY AVE",
            "address_2": "SUITE 1303",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803449",
            "telephone_number": "713-818-7481",
            "fax_number": "832-442-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN RADIOLOGY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/RADIOLOGIST",
        "authorized_official_telephone_number": "713-818-7481",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "P1211",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P1211",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P1211",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2019; 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.