East Houston Physicians Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EAST HOUSTON PHYSICIANS GROUP, PA

Practice address

11821 East Fwy Ste 175
Houston, TX 77029-1960

Phone

(713) 330-0766

Fax

(877) 862-8370

NPI assigned

Oct 8, 2012

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Wayne Killam, MDNPI 1013960228

Title

Ceo

Phone

(713) 330-0766

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Ronald Wayne Killam, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1013960228
  Medicare reassignment NPD Authorized official
• Melissa Suzanne Amador, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1972794154
  NPD (past)
• Hoa Thai Nguyen, FNP

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1891621736
  NPD (past)

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1518219104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96706",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772136706",
            "telephone_number": "713-330-0766",
            "fax_number": "713-330-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 EAST FWY STE 175",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291960",
            "telephone_number": "713-330-0766",
            "fax_number": "877-862-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HOUSTON PHYSICIANS GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "KILLAM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-330-0766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Houston Medicine & Pediatrics Clinic PA
• East Houston Mint Dentistry, PLLC
• East Houston OBGYN & Associates
• East Houston Orthopedics & Sports Medicine, P.a.
• East Houston Pathology Group
• East Houston Specialists PLLC
• East Houston Surgery Center, LLC
• East Houston Surgical Associates
• East Houston Urology PA
• East Loop Chiropractic Clinic, Inc.

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.