Organization Active NPI

Advanced Health & Diagnostic Partners

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • The Woodlands, TX
National Provider Identifier
1710496245
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ADVANCED HEALTH & DIAGNOSTIC PARTNERS
Practice address
95 S Fair Manor Cir
The Woodlands, TX 77382-1085
Phone
(281) 831-6290
Fax
(832) 442-3800
NPI assigned
Sep 27, 2017
Last updated
Nov 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Kirt ReppNPI 1598752545
Title
Managing Member
Phone
(281) 831-6290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

95 S Fair Manor Cir
The Woodlands, TX 77382-1085

Mailing address

6700 Woodlands Pkwy Ste 230-210
The Woodlands, TX 77382-2575
Phone (281) 831-6290

Other identifiers 1

IdentifierTypeStateIssuer
1962428656OtherTXPHYSICAL MEDICINE AND REHABILITATION

National Provider Directory

National Provider Directory

Locations

6700 Woodlands Pkwy
Ste 230210
The Woodlands, TX 77382

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": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1710496245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 WOODLANDS PKWY STE 230-210",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773822575",
            "telephone_number": "281-831-6290",
            "fax_number": "832-442-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S FAIR MANOR CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821085",
            "telephone_number": "281-831-6290",
            "fax_number": "832-442-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALTH & DIAGNOSTIC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "KIRT",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "281-831-6290"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL MEDICINE AND REHABILITATION",
            "identifier": "1962428656",
            "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 11, 2020; 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.