Organization Active NPI

Woodlands I-45 Medical Center PLLC

  • Family Medicine Physician
  • The Woodlands, TX
National Provider Identifier
1669709556
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WOODLANDS I-45 MEDICAL CENTER PLLC
Practice address
29801 Interstate 45
Suite 101
The Woodlands, TX 77381-1196
Phone
(281) 362-9100
Fax
(281) 292-1404
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Dr. Walter Kane, MD
Title
President./Physician
Phone
(713) 302-1377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

29801 Interstate 45
Suite 101
The Woodlands, TX 77381-1196

Mailing address

29801 Interstate 45
Suite 101
The Woodlands, TX 77381-1196
Phone (281) 362-9100

Other identifiers 1

IdentifierTypeStateIssuer
2097487MedicaidTX

National Provider Directory

National Provider Directory

Locations

29801 Interstate 45
Ste 101
The Woodlands, TX 77381
Phone (281) 297-6305

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1669709556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29801 INTERSTATE 45",
            "address_2": "SUITE 101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811196",
            "telephone_number": "281-362-9100",
            "fax_number": "281-292-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29801 INTERSTATE 45",
            "address_2": "SUITE 101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811196",
            "telephone_number": "281-362-9100",
            "fax_number": "281-292-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS I-45 MEDICAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT./PHYSICIAN",
        "authorized_official_telephone_number": "713-302-1377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097487",
            "state": "TX"
        }
    ],
    "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 Nov 29, 2010; 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.