Anita Gottipati, MD PA
Organization Active NPI Neuromusculoskeletal Medicine & OMM Physician · Cleveland, TX
NPI 1740216282 · NPPES record last updated Nov 30, 2011
Key facts
- NPI
- 1740216282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician 204D00000X
- Legal business name
- ANITA GOTTIPATI, MD PA
- Practice address
- 401 E Crockett St
Suite B
Cleveland, TX 77327-4030 - Phone
- (281) 592-9992
- Fax
- (281) 659-1081
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Anita Rani Gottipati, MD
- Title
- Owner
- Phone
- (281) 592-9992
Practitioners 1
-
Anita Gottipati, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050329000353 | TX | Part B Supplier - Clinic/Group Practice | 0840246278 |
Receives reassigned benefits from 1 practitioner Practice locations: Conroe, TX |
National Provider Directory
Locations
9319 Pinecroft Dr
Ste 210
The Woodlands, TX 77380
Phone (281) 312-8569
3115 College Park Dr
Ste 109
The Woodlands, TX 77384
Phone (936) 273-1095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician |
204D00000X | Yes |
Addresses
Primary practice location
401 E Crockett St
Suite B
Cleveland, TX 77327-4030
Mailing address
401 E Crockett St
Suite B
Cleveland, TX 77327-4030
Phone (281) 592-9992
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- Eric Trowbridge Anderson
- Seth A Anderson
- Apn Pharmacy LLC
- Amanda Arceneaux
- Colby Ray Arnold
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All providers in Cleveland, TX · Neuromusculoskeletal Medicine & OMM Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.