Elizabeth J Wanner

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H8495 Issued in TX

Practice address

1101 Alma St
Ste 102
Tomball, TX 77375-4559

Phone

(281) 351-1411

Fax

(281) 351-0240

NPI assigned

Jun 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Genesis Urgent Care LLCGroup PAC ID 9537569843, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Phoenix Healthcare Services, Inc Home health agency, Houston, TX, CCN 679498
• Vitas Healthcare of Texas L P Hospice, Houston, TX, CCN 451536
• St Gabriels Hospice and Palliative Care LLC Hospice, Weatherford, TX, CCN 671742
• St. Gabriel'S Hospice and Palliative Care Hospice, Fort Worth, TX, CCN 741596
• HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.wanner.1@19704.direct.athenahealth.com

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.

• David P Ellent PLLC

  • Hematology & Oncology Physician
  • Spring, TX
  • NPI 1245777440
  Medicare reassignment Care Compare group NPD
• Genesis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tomball, TX
  • NPI 1255987434
  Medicare reassignment Care Compare group
• Wanner MHT LLC

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1477972578
  NPD Authorized official
• David P Ellent PLLC

  • Clinical Medical Laboratory
  • Kingwood, TX
  • NPI 1891348959
  NPD
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Pearland, TX
  • NPI 1669402335

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1730132234
  Care Compare affiliation
• North Houston - TRMC, LLC

  • General Acute Care Hospital
  • Tomball, TX
  • NPI 1750819025
  Care Compare affiliation
• Phoenix Healthcare Services, Inc

  • Home Health Agency
  • Houston, TX
  • NPI 1558456624
  Care Compare affiliation
• Sghpc-Sa, LLC

  • Community Based Hospice Care Agency
  • Fort Worth, TX
  • NPI 1386062438
  Care Compare affiliation
• St. Gabriel'S Hospice and Palliative Care, LLC

  • Community Based Hospice Care Agency
  • Weatherford, TX
  • NPI 1679859060
  Care Compare affiliation
• Vitas Healthcare of Texas, LP

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1659410850
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1922004969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754559",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754559",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111660001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter M Jarrell DDS Inc
• Jessica Reynolds Walter, P.A.-C
• Alfred Wande, OTR
• Kai Wang
• Wanner MHT LLC
• Waqar a. Khan, M.D., PA
• Courtney Warren
• Quelyndria Washington
• Brittany Marie Taylor Watson, PA-C
• James D Watson, DDS, PA

• Family Medicine Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.