Organization Active NPI

Contemporary Family Medicine Trust

  • Clinical Medical Laboratory
  • Cleveland, TX
National Provider Identifier
1689689556
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
4500921162 Issued in NU
Legal business name
CONTEMPORARY FAMILY MEDICINE TRUST
Practice address
200 East Boothe
# 100
Cleveland, TX 77327-4063
Phone
(281) 592-2888
Fax
(281) 361-6322
NPI assigned
Jul 29, 2006
Last updated
Jul 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
George N Stokes, MDNPI 1003824509
Title
Manager
Phone
(281) 592-2888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 4500921162 NU Primary

Addresses

Primary practice location

200 East Boothe
# 100
Cleveland, TX 77327-4063

Mailing address

200 E Boothe
Suite 100
Cleveland, TX 77327-4063
Phone (281) 592-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000776 TX Part B Supplier - Independent Clinical Laboratory 5193700508 Practice locations: Cleveland, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0921162Contemporary Family Medicine200 East Boothe Street Suite 100, Cleveland, TX 77327ComplianceJan 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Contemporary Family Medicine Trust2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1689689556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BOOTHE",
            "address_2": "SUITE 100",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274063",
            "telephone_number": "281-592-2888",
            "fax_number": "281-361-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST BOOTHE",
            "address_2": "# 100",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274063",
            "telephone_number": "281-592-2888",
            "fax_number": "281-361-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY FAMILY MEDICINE TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-592-2888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": "4500921162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.