Active NPI
Goodwill Anesthesia Services, P.a.
- Pain Medicine (Anesthesiology) Physician
- El Campo, TX
National Provider Identifier
1790808707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G1575
- Legal business name
- GOODWILL ANESTHESIA SERVICES, P.A.
- Practice address
- 303 Sandy Corner Rd
El Campo, TX 77437-9535 - Phone
- (281) 265-0774
- Fax
- (281) 265-0774
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pramodh Kumar Wadera, M.D.
- Title
- President
- Phone
- (281) 265-0774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G1575 | TX | Primary |
Addresses
Primary practice location
303 Sandy Corner Rd
El Campo, TX 77437-9535
Mailing address
PO Box 16404
Sugar Land, TX 77496-6404
Phone (281) 265-0774
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1295885770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283126400000",
"number": "1790808707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16404",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774966404",
"telephone_number": "281-265-0774",
"fax_number": "281-265-0774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SANDY CORNER RD",
"city": "EL CAMPO",
"state": "TX",
"postal_code": "774379535",
"telephone_number": "281-265-0774",
"fax_number": "281-265-0774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODWILL ANESTHESIA SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2010-08-30",
"status": "A",
"authorized_official_last_name": "WADERA",
"authorized_official_first_name": "PRAMODH",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-265-0774",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "G1575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Campo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.