NPIMap

Organization Active NPI

Woodlands Pain Consultants,PA

  • Specialist
  • Spring, TX
National Provider Identifier
1811090376
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J4247 Issued in TX
Legal business name
WOODLANDS PAIN CONSULTANTS,PA
Practice address
1441 Woodstead CT
Suite 300
Spring, TX 77380-1410
Phone
(281) 319-4910
Fax
(832) 663-9371
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Kimberly Ann Henry
Title
Administrator
Phone
(281) 319-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X J4247 TX Primary

Addresses

Primary practice location

1441 Woodstead CT
Suite 300
Spring, TX 77380-1410

Mailing address

1544 Sawdust Rd Ste 102
Spring, TX 77380-2904
Phone (813) 194-9102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070126000282 TX Part B Supplier - Clinic/Group Practice 2466453980 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX; The Woodlands, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

1441 Woodstead Ct
Ste 260
The Woodlands, TX 77380
Phone (218) 319-4910

25440 Interstate 45 N
Ste 100
The Woodlands, TX 77386
Phone (281) 367-1388

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1811090376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 102",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802904",
            "telephone_number": "813-194-9102",
            "fax_number": "832-663-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WOODSTEAD CT",
            "address_2": "SUITE 300",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801410",
            "telephone_number": "281-319-4910",
            "fax_number": "832-663-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS PAIN CONSULTANTS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-319-4910"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.