Roger C Willette MD; PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

G6771 Issued in TX

Legal business name

ROGER C WILLETTE MD; PA

Practice address

1322 Space Park Dr
Ste B150
Houston, TX 77058-3400

Phone

(281) 333-1213

Fax

(281) 333-9573

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Carey Kneupper

Title

Practice Administrator

Phone

(281) 333-1213

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roger C Willette MD; PA Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Incalcaterra Jr., M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1609887082
  NPD (past)
• Roger C Willette, M.D.

  • Specialist
  • Houston, TX
  • NPI 1831138445
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1679734628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57805",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775987805",
            "telephone_number": "281-333-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR",
            "address_2": "STE B150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583400",
            "telephone_number": "281-333-1213",
            "fax_number": "281-333-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER C WILLETTE MD; PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "KNEUPPER",
        "authorized_official_first_name": "CAREY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "281-333-1213"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G6771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097810801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roger C Willette MD; PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathalie K. Roff, M.D.
• Aislinn Rogalla
• Allison Patricia Rogan, APRN, FNP-C
• Maricssa Rogel-Herrera, DDS
• Roger a. Kaestner, D.D.S.,P.a.
• Roger Le Meh LLC
• Roger Mendoza DDS Inc
• Roger Williams Academy
• Ryan Gerald Rogero, MD
• Acacia Marie Rogers-Arcos, MA CCC-SLP

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.