Individual provider Active NPI

Lance Robert Pickard, M.D.

  • Family Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1841511912
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P2153 Issued in TX
Practice address
8845 Six Pines Dr FL 2
Shenandoah, TX 77380-2675
Phone
(281) 602-0509
Fax
(855) 308-0364
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P2153 TX Primary

Addresses

Primary practice location

8845 Six Pines Dr FL 2
Shenandoah, TX 77380-2675

Mailing address

8845 Six Pines Dr FL 2
Shenandoah, TX 77380-2675
Phone (281) 602-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130725000346 TX Practitioner - Family Practice 8820239395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

8845 Six Pines Dr
Suite 200
Shenandoah, TX 77380-4296
Phone (281) 440-5300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Oct 21, 2020 Accepting new patients
David P Ellent PLLC CurrentSince Oct 21, 2020 Accepting new patients
Genesis Urgent Care LLC CurrentSince Jun 20, 2024 Accepting new patients

Locations

108 N Main St
#A1
Dayton, TX 77535

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

22751 Professional Dr
Kingwood, TX 77339
Phone (281) 319-8380

8845 Six Pines Dr
Ste 200
Shenandoah, TX 77380

2255 E Mossy Oaks Rd
Ste 500
Spring, TX 77389
Phone (832) 232-5658

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

24727 State Highway 249
Ste 120
Tomball, TX 77375

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

26940 Kuykendahl Rd
Ste 100
Tomball, TX 77375

Interoperability endpoints

  • Direct secure messaging: lance.pickard.1@19704.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1841511912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR FL 2",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802675",
            "telephone_number": "281-602-0509",
            "fax_number": "855-308-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 SIX PINES DR FL 2",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802675",
            "telephone_number": "281-602-0509",
            "fax_number": "855-308-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKARD",
        "first_name": "LANCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P2153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.