Individual provider Active NPI

Edward Alan Nash, M.D.

  • Physical Medicine & Rehabilitation Physician
  • The Woodlands, TX
National Provider Identifier
1962428656
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M3662 Issued in TX
Practice address
3281 College Park Dr
The Woodlands, TX 77384-4501
Phone
(346) 220-8063
Fax
(832) 838-4362
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X M3662 TX Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X M3662 TX

Addresses

Primary practice location

3281 College Park Dr
The Woodlands, TX 77384-4501

Mailing address

3281 College Park Dr
The Woodlands, TX 77384-4501
Phone (346) 220-8063

Other identifiers 3

IdentifierTypeStateIssuer
EO145786OtherTXDPS
189945201MedicaidTX
M3662OtherTXTEXAS LICENSE

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
I20061107000290 TX Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880691740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Woodlands Neuro Solutions LLC Current Accepting new patients
Bioprorestore LLC Physical Medicine & Rehabilitation Past Accepting new patients
Full Spectrum Wound Care Alliance Past Accepting new patients

Locations

10857 Kuykendahl Rd
Ste 110
The Woodlands, TX 77382
Phone (346) 220-8063

Interoperability endpoints

  • Direct secure messaging: edward.nash.1@11939.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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1962428656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 COLLEGE PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844501",
            "telephone_number": "346-220-8063",
            "fax_number": "832-838-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 COLLEGE PARK DR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844501",
            "telephone_number": "346-220-8063",
            "fax_number": "832-838-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M3662",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "M3662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "EO145786",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189945201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "M3662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.