Komedix Medical Associates PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

KOMEDIX MEDICAL ASSOCIATES PA

Practice address

189 E Austin St
Ste. 106
New Braunfels, TX 78130-4104

Phone

(830) 708-8182

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Roger Dale Kelly

Title

Coo

Phone

(830) 708-8182

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• William Anson Pollan, D.O., MPH

  • Occupational Medicine Physician
  • New Braunfels, TX
  • NPI 1053392506
  NPD
• Eva Ramirez, FNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1730538281
  NPD
• Carlos Campos, M.D., M.P.H.

  • Family Medicine Physician
  • New Braunfels, TX
  • NPI 1376730747
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1679978977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST",
            "address_2": "STE. 106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 E AUSTIN ST",
            "address_2": "STE. 106",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304104",
            "telephone_number": "830-708-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOMEDIX MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "830-708-8182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Lee Koenig, LM,CPM
• Terri Renee Kohleffel, PT
• Adrienne M. Koller, MA, LPC
• Komedix
• Komedix Healthcare Inc
• Wendi E Konomos, GNP
• Felix Chong Wah Koo, M.D.
• Daniel Korman, PT, DPT
• Rebecca Korver
• Kelly Jo Koss, WHNP

• Primary Care Clinic/Center in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.