Active NPI
Edward Alan Nash, M.D.
- Physical Medicine & Rehabilitation Physician
- The Woodlands, TX
National Provider Identifier
1962428656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- M3662
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EO145786 | Other | TX | DPS |
| 189945201 | Medicaid | TX | |
| M3662 | Other | TX | TEXAS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061107000290 | TX | Practitioner - Physical Medicine and Rehabilitation | 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.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- The Woodlands, TX
- NPI 1942844634
-
- Electrodiagnostic Medicine Physician
- The Woodlands, TX
- NPI 1952867871
-
- Internal Medicine Physician
- Austin, TX
- NPI 1144950486
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.