Sweetwater Medical Associates, PLLC
Organization Active NPI Family Medicine Physician · Sugar Land, TX
NPI 1528079266 · NPPES record last updated Apr 10, 2012
Key facts
- NPI
- 1528079266
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SWEETWATER MEDICAL ASSOCIATES, PLLC
- Practice address
- 16651 Southwest Fwy
Ste 100
Sugar Land, TX 77479-2345 - Phone
- (281) 494-4900
- Fax
- (281) 494-4905
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Michelle Meza
- Title
- Practice Manager
- Phone
- (281) 494-4900
Practitioners 6
-
Joann Jugarap, APRN
-
Jeffery T Alford, MD
-
Hsiao-Hui Ju, N.P.
-
Dina B White, MD
-
Scott David Freeman, PA-C
-
Tania Ijeoma Ifeanyi, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0925604 | Sweetwater Medical Associates | Provider-performed microscopy | Mar 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120410000648 | TX | Part B Supplier - Clinic/Group Practice | 5799946216 |
Receives reassigned benefits from 4 practitioners Practice locations: Sugar Land, TX |
National Provider Directory
Locations
16659 Southwest Fwy
Ste 461
Sugar Land, TX 77479
Phone (281) 340-9355
16551 Southwest Fwy
Ste 100
Sugar Land, TX 77479
Phone (281) 494-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X |
Addresses
Primary practice location
16651 Southwest Fwy
Ste 100
Sugar Land, TX 77479-2345
Mailing address
16651 Southwest Fwy
Ste 100
Sugar Land, TX 77479-2345
Phone (281) 494-4900
Other names
- Methodist Medical Group, PLLC
Other providers in Sugar Land, TX
- Tammy Sweed
- Sweeny Hospital District
- Sweet Water Emergency Physicians PLLC
- Sweetwater Clinic
- Sweetwater Dermatology PLLC
- Sweetwater MRI LP
- Sweetwater OBGYN Associates LTD., LLP
- Sweetwater Pharmacy PLLC
- Sweetwater Radiology Associates LLP
- Sweetwater Surgery Center
All providers in Sugar Land, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.