Organization Active NPI

Goodwill Anesthesia Services, P.a.

  • Pain Medicine (Anesthesiology) Physician
  • El Campo, TX
National Provider Identifier
1790808707
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G1575 Issued in TX
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

Updated by the provider on Aug 30, 2010

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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.

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.

Verify at the official NPI Registry.