NPIMap

Organization Active NPI

Scarborough Family Medicine PLLC

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1558620559
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCARBOROUGH FAMILY MEDICINE PLLC
Practice address
603 S Conroe Medical Dr Ste 110
Conroe, TX 77304-5395
Phone
(936) 760-9900
Fax
(281) 943-2810
NPI assigned
May 10, 2012
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Dr. Kyle Scarborough, M.D.NPI 1417045303
Title
Owner/Sole MBR
Phone
(281) 943-2800

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

603 S Conroe Medical Dr Ste 110
Conroe, TX 77304-5395

Mailing address

3 Watermint PL
The Woodlands, TX 77384-4770
Phone (281) 943-2800

National Provider Directory

National Provider Directory

Locations

603 S Conroe Medical Dr
Ste 110
Conroe, TX 77304
Phone (936) 235-7093

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1558620559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WATERMINT PL",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844770",
            "telephone_number": "281-943-2800",
            "fax_number": "281-943-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 S CONROE MEDICAL DR STE 110",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045395",
            "telephone_number": "936-760-9900",
            "fax_number": "281-943-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCARBOROUGH FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SCARBOROUGH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER/SOLE MBR",
        "authorized_official_telephone_number": "281-943-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.