Ikp Family Medicine P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IKP FAMILY MEDICINE P.A.

Practice address

21309 Foster Rd
Ste 100
Spring, TX 77388

Phone

(281) 587-1700

Fax

(281) 907-6003

NPI assigned

Jul 24, 2006

Last updated

Sep 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Irvine, MDNPI 1780607382

Title

President/Owner

Phone

(281) 587-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ikp Family Medicine, P.a.

  • Family Medicine Physician
  • Conroe, TX
  • NPI 1215191697

  O20050419000628

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Timothy E. Irvine, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1780607382
  NPD Authorized official
• Azita Arabghani, M.D.

  • Hospitalist Physician
  • The Woodlands, TX
  • NPI 1609130855

  Family Medicine

  NPD
• Cecille Bailey, NP

  • Nurse Practitioner
  • Houston, TX
  • NPI 1881269512
  NPD
• Shannon Blackburn, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1518689611
  NPD
• Danielle Davis Boss, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1841616836
  NPD
• Ladyjoan Box, NP

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1134563083
  NPD
• Lindsey Michelle Freed

  • Family Nurse Practitioner
  • The Woodlands, TX
  • NPI 1396495669
  NPD
• Amy Elizabeth Johnson, FNP-C

  • Family Nurse Practitioner
  • Tomball, TX
  • NPI 1861966277
  NPD
• Rohit Kashyap, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1942220728
  NPD
• Anna O Lavrova, MD

  • Internal Medicine Physician
  • Spring, TX
  • NPI 1275169377

  Family Medicine

  NPD
• Colleen Manning, FNP-C

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1942615786
  NPD
• Alejandra Palmeros-Irvine, MD

  • Family Medicine Physician
  • Spring, TX
  • NPI 1154341915
  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1659393163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884209",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 FOSTER RD",
            "address_2": "STE 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77388",
            "telephone_number": "281-587-1700",
            "fax_number": "281-907-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKP FAMILY MEDICINE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "IRVINE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-587-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Spring, TX
• Providers in Spring, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.