Individual provider Active NPI

John Albert Healy, MD

  • Family Medicine Physician
  • Conroe, TX
National Provider Identifier
1649407933
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1676 Issued in TX
Practice address
704 Old Montgomery Rd
Conroe, TX 77301-2740
Phone
(936) 539-4004
Fax
(936) 539-3635
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N1676 TX Primary
Emergency Medicine Physician 207P00000X N1676 TX

Addresses

Primary practice location

704 Old Montgomery Rd
Conroe, TX 77301-2740

Mailing address

704 Old Montgomery Rd
Conroe, TX 77301-2740
Phone (936) 539-4004

Other identifiers 2

IdentifierTypeStateIssuer
297921304MedicaidTX
8DF980OtherTXBCBS

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
I20120703000584 TX Practitioner - Emergency Medicine 2466617006 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1676TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Emergency Services Physician Group-Houston PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

2201 W Lampasas St
Ennis, TX 75119
Phone (469) 256-2458

7200 Cambridge St
#B
Houston, TX 77030
Phone (713) 798-3498

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

600 S Bonham St
Mexia, TX 76667
Phone (254) 562-5332

18057 Highway 105 W
Ste 220
Montgomery, TX 77356
Phone (936) 228-9489

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

22003 Southwest Fwy
Richmond, TX 77469
Phone (281) 341-2000

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

1317 Lake Pointe Pkwy
Sugar Land, TX 77478
Phone (281) 277-1101

17400 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-4055

10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808

Organizations & group practices 2

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": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1649407933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 OLD MONTGOMERY RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012740",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 OLD MONTGOMERY RD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012740",
            "telephone_number": "936-539-4004",
            "fax_number": "936-539-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEALY",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1676",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N1676",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297921304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DF980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.