Conroe-Woodlands Gastroenterology, P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CONROE-WOODLANDS GASTROENTEROLOGY, P.A.

Practice address

1020 Riverwood CT Ste 300
Conroe, TX 77304-2974

Phone

(936) 760-1900

Fax

(936) 441-1907

NPI assigned

Feb 27, 2007

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Michael Kelly, MDNPI 1245367663

Title

President

Phone

(936) 760-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 18

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.

• Stephen Michael Kelly, MD

  • Gastroenterology Physician
  • Conroe, TX
  • NPI 1245367663
  Medicare reassignment Authorized official
• Michael W Robles, DO

  • Anatomic Pathology Physician
  • Carrollton, TX
  • NPI 1427034495
  Medicare reassignment NPD
• Cherrelle Latrice Barton, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1952912776
  NPD (past)
• Amanda Walton Basford, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1003834904
  NPD (past)
• Jameelah Bennett, FNP-C

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1275442022
  NPD (past)
• Cody Mitchell Cobb

  • Nephrology Physician
  • Shenandoah, TX
  • NPI 1962907055

  Single Specialty

  NPD (past)
• Claudia A Driscoll

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1942068408
  NPD (past)
• Jamie Faust, NP

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1710521422
  NPD (past)
• Adam Immanuel Frome, MD

  • Nephrology Physician
  • The Woodlands, TX
  • NPI 1215124417
  NPD (past)
• Ojas Naik, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1710125604
  NPD (past)
• Unknown Parveen, M.D

  • Nephrology Physician
  • Shenandoah, TX
  • NPI 1699089771

  Single Specialty

  NPD (past)
• Dominique L Thompson-Ogunson, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
  • NPI 1316877004
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1962539155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-760-1900",
            "fax_number": "936-441-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 RIVERWOOD CT STE 300",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042974",
            "telephone_number": "936-760-1900",
            "fax_number": "936-441-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONROE-WOODLANDS GASTROENTEROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-760-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conroe Vascular and Interventional LLP
• Conroe Vision Associates (Eyeland)
• Conroe Vision Associates PA
• Conroe Willis Family Medicine, PLLC
• Conroe WM LLC (Worthington Manor)
• Adrienne Conroy
• Consider the Lilies Home Care Inc (Consider the Lilies)
• Consider the Lilies, Inc.
• Consoling Hand Concierge SVCS LLC
• Nohely Contreras

• Gastroenterology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.