Active NPI
Suzanne Marie Stovall, D.O.
- Family Medicine Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2132
- Practice address
- 4015 I H 45 N
Suite 100
Conroe, TX 77304-5074 - Phone
- (936) 270-4600
- Fax
- (936) 856-8429
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2132 | TX | Primary |
Addresses
Primary practice location
4015 I H 45 N
Suite 100
Conroe, TX 77304-5074
Mailing address
4015 I H 45 N
Suite 100
Conroe, TX 77304-5074
Phone (936) 270-4600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191030904 | Medicaid | TX | |
| 8FT299 | Other | TX | BLUE CROSS BLUE SHIELD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800
16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148
17183 I 45 S
Shenandoah, TX 77385-3316
4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411
Hospital & facility affiliations
- Houston Methodist the Woodlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M2132 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Family Medicine | Current | Accepting new patients |
| TMH Physician Associates PLLC | Current | Accepting new patients |
Locations
4015 Interstate 45 N
Ste 100
Conroe, TX 77304
Phone (936) 270-4600
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
Interoperability endpoints
- sstovall36896@directhoustonmethodist.org
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1942267232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 I H 45 N",
"address_2": "SUITE 100",
"city": "CONROE",
"state": "TX",
"postal_code": "773045074",
"telephone_number": "936-270-4600",
"fax_number": "936-856-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 I H 45 N",
"address_2": "SUITE 100",
"city": "CONROE",
"state": "TX",
"postal_code": "773045074",
"telephone_number": "936-270-4600",
"fax_number": "936-856-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M2132",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191030904",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8FT299",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.