Individual provider Active NPI

Michael Nolen, D.O.

  • Emergency Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1578580197
Registry record updated Nov 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K7465 Issued in TX
Practice address
9250 Pinecroft Dr
The Woodlands, TX 77380-3218
Phone
(281) 364-2300
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 3376 OK
Emergency Medicine Physician 207P00000X K7465 TX Primary

Addresses

Primary practice location

9250 Pinecroft Dr
The Woodlands, TX 77380-3218

Mailing address

10203 Clubhouse Cir
Magnolia, TX 77354-6937
Phone (281) 252-5115

Other identifiers 3

IdentifierTypeStateIssuer
045563602MedicaidTX
8X7859OtherTXBCBS
045563603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000961 TX Practitioner - Emergency Medicine 4183642861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Southwestern Medical School at Dallas, 1995
Medicare assignment
May accept Medicare assignment
Group practices
The Urgent Care Associates of Texas PLLCGroup PAC ID 1355665795, 22 clinicians

Practice addresses (Care Compare)

32784 FM 2978 Rd
Magnolia, TX 77354-6039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3376OKMDEmergency Medicine Physician
K7465TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Urgent Care Associates of Texas, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Woodlands Lone Star Emergency Physicians Group, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Woodlands Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

13902 Spring Cypress Rd
Cypress, TX 77429
Phone (281) 503-8160

32784 FM 2978 Rd
#B
Magnolia, TX 77354
Phone (281) 789-3400

32784 FM 2978 Rd
Magnolia, TX 77354
Phone (281) 789-3400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1578580197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10203 CLUBHOUSE CIR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773546937",
            "telephone_number": "281-252-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "281-364-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3376",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K7465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045563602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8X7859",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045563603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.