NPIMap

Organization Active NPI

Kingwood Family Medicine, PA

  • Primary Care Clinic/Center
  • Kingwood, TX
National Provider Identifier
1851318729
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
F55555 Issued in TX
Legal business name
KINGWOOD FAMILY MEDICINE, PA
Practice address
22751 Professional Dr
Suite 1400
Kingwood, TX 77339
Phone
(281) 319-8383
Fax
(281) 319-8384
NPI assigned
Jul 16, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Robert Stephen Grayson, DO, FAAFP
Title
Physician
Phone
(281) 319-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X F55555 TX Primary

Addresses

Primary practice location

22751 Professional Dr
Suite 1400
Kingwood, TX 77339

Mailing address

22751 Professional Dr
Suite 1400
Kingwood, TX 77339
Phone (281) 319-8383

Other identifiers 1

IdentifierTypeStateIssuer
164252201MedicaidTX

National Provider Directory

National Provider Directory

Locations

22751 Professional Dr
Ste 1000
Kingwood, TX 77339
Phone (281) 319-8300

22751 Professional Dr
Ste 1400
Kingwood, TX 77339
Phone (281) 319-8383

22999 Highway 59 N
Ste 128
Kingwood, TX 77339
Phone (281) 348-3335

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1851318729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 1400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-319-8383",
            "fax_number": "281-319-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 1400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-319-8383",
            "fax_number": "281-319-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-319-8383",
        "authorized_official_credential": "DO, FAAFP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "F55555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164252201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.