Premium Choice Physicians

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PREMIUM CHOICE PHYSICIANS

Practice address

5 Grogans Park Dr Ste 203
The Woodlands, TX 77380-2191

Phone

(940) 488-4290

Fax

(940) 536-0539

NPI assigned

Apr 29, 2019

Organization subpart

No

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

Authorized official

Name

David Dejesus

Title

President

Phone

(817) 751-1811

Specialties & licenses 10

Addresses

Locations

Practitioners 5

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

• Kateesa Childs

  • Family Nurse Practitioner
  • The Woodlands, TX
  • NPI 1386300317
  NPD
• Erika Cook

  • Family Nurse Practitioner
  • Huntsville, TX
  • NPI 1912488420
  NPD (past)
• Kathleen Susan Davis, MSN, AGPCNP-C

  • Nurse Practitioner
  • Houston, TX
  • NPI 1346832904
  NPD (past)
• Michelle Jones, NP

  • Family Nurse Practitioner
  • Coppell, TX
  • NPI 1730432493
  NPD (past)
• Ginger Weaver, APRN, FNP-C

  • Family Nurse Practitioner
  • Southlake, TX
  • NPI 1134708266
  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1548824121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "940-488-4290",
            "fax_number": "940-536-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GROGANS PARK DR STE 203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802191",
            "telephone_number": "940-488-4290",
            "fax_number": "940-536-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CHOICE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-751-1811"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Precision Surgical Assisting, LLC
• Premier DME, LLC
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• Premier Specialty Physicians
• Premier Surgeons Management, LLC
• Preserve Physical Therapy, LLC
• Prestige Spinal Care, LLC
• Prevention and Recovery Center, Inc.
• Madare E Previlor, ACNP-BC
• Eric William Price, MD

• General Practice Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.