Active NPI
Synergence Health
- Family Medicine Physician
- The Woodlands, TX
National Provider Identifier
1609426832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYNERGENCE HEALTH
- Practice address
- 25700 Interstate 45 Ste 400
The Woodlands, TX 77386-2198 - Phone
- (936) 203-8505
- Fax
- (877) 771-0152
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason James Moran, RN
- Title
- President
- Phone
- (936) 203-8505
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
25700 Interstate 45 Ste 400
The Woodlands, TX 77386-2198
Mailing address
1300 Bay Area Blvd Ste B100
Houston, TX 77058-2505
Phone (346) 230-7250
National Provider Directory
National Provider DirectoryLocations
25700 Interstate 45
Ste 400
The Woodlands, TX 77386
Phone (832) 905-6141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568851200000",
"number": "1609426832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BAY AREA BLVD STE B100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770582505",
"telephone_number": "346-230-7250",
"fax_number": "832-224-9172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25700 INTERSTATE 45 STE 400",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773862198",
"telephone_number": "936-203-8505",
"fax_number": "877-771-0152"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYNERGENCE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2019-09-19",
"status": "A",
"authorized_official_last_name": "MORAN",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "936-203-8505",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.