Active NPI
Contemporary Family Medicine Trust
- Family Medicine Physician
- Cleveland, TX
National Provider Identifier
1821273541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONTEMPORARY FAMILY MEDICINE TRUST
- Practice address
- 200 E Boothe
# 100
Cleveland, TX 77327-4063 - Phone
- (281) 592-2888
- NPI assigned
- Dec 31, 2007
- Last updated
- Apr 24, 2020
- 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
- George N Stokes, MD
- Title
- Manager
- Phone
- (281) 592-2888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
200 E Boothe
# 100
Cleveland, TX 77327-4063
Mailing address
200 E Boothe
# 100
Cleveland, TX 77327-4063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621000974 | TX | Part B Supplier - Clinic/Group Practice | 5193700508 |
Receives reassigned benefits from 1 practitioner Practice locations: Cleveland, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Clinical Medical Laboratory
- Cleveland, TX
- NPI 1689689556
5193700508
National Provider Directory
National Provider Directory- Tax ID family
- Contemporary Family Medicine Trust
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Cleveland, TX
- NPI 1689689556
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.
-
- Family Medicine Physician
- Cleveland, TX
- NPI 1003824509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587686400000",
"number": "1821273541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E BOOTHE",
"address_2": "# 100",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773274063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E BOOTHE",
"address_2": "# 100",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "773274063",
"telephone_number": "281-592-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONTEMPORARY FAMILY MEDICINE TRUST",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-31",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A",
"authorized_official_last_name": "STOKES",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "281-592-2888",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, TX
- Cleveland's Family Dental Care PLLC (Cleveland Smiles)
- Jerry Frank Colapret, DDS
- Dona Nicole Coleman, APRN, FNP-C
- Community Non-Emergency Medical Transportation LLC
- Contemporary Family Medicine Trust
- Cornerstone Clinical Services, Inc.
- Cornerstone Wellness Group, LLC
- Angela Corral Bago
- Daryl Crosby, FNP-C
- D&S Residential Services, LP (Lee St. Community Residence)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.