JENNIFER HONEYCUTT BREAZEALE (NPI# 1104851047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104851047 |
| Entity Type | Individual |
| Full Name | JENNIFER HONEYCUTT BREAZEALE |
| Credential | MD |
| Practice Address |
17198 St Lukes Way Suite 540 The Woodlands TX 77384-8011 |
| Mailing Address |
11511 Shadow Creek Pkwy Pearland TX 77584-7298 |
| Practice Telephone | 7134421900 |
| Mailing Telephone | 7134420000 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | L5997 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 156813102 | 05 | |
| TX | 156813103 | 05 | |
| TX | 156813101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25553 Us Highway 59, Porter, TX 773655500 | 7134422100 |
| Street Address |
17198 ST LUKES WAY SUITE 540 |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720076573 | John Harold Williams | Obstetrics & Gynecology | 17198 St Lukes Way, #440, The Woodlands, TX 77384-8011 | 2005-10-06 |
| 1003367475 | Annamaria Hager | Nurse Practitioner | 17198 St Lukes Way, Suite 250, The Woodlands, TX 77384-8011 | 2016-10-20 |
| 1487036711 | Vector Health, Pllc | Family Medicine | 17198 St Lukes Way, Suite 430, The Woodlands, TX 77384-8011 | 2015-06-23 |
| 1972855344 | Woodlands Internal Medicine, P.a. | Internal Medicine | 17198 St Lukes Way, Ste 450, The Woodlands, TX 77384-8011 | 2012-10-10 |
| 1619226255 | Tiffany Nicole Tracy | Obstetrics & Gynecology | 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 | 2012-08-29 |
| 1518259522 | Anh-van Hong Mai | Obstetrics & Gynecology | 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 | 2011-05-10 |
| 1952615361 | Kidney Specialists of North Houston | Internal Medicine | 17198 St Lukes Way, Suite 620, The Woodlands, TX 77384-8011 | 2010-07-28 |
| 1316258007 | Shannon Esse Bazaldua | Audiologist | 17198 St Lukes Way, Suite 300, The Woodlands, TX 77384-8011 | 2010-06-28 |
| 1598917106 | Urology Specialists Pa | Urology | 17198 St Lukes Way, Suite 410, The Woodlands, TX 77384-8011 | 2008-10-14 |
| 1629249057 | Christina Greig Frome | Obstetrics & Gynecology | 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932543352 | Cassandra Kuchta Schakett | Obstetrics & Gynecology | 17198 St Lukes Way Ste 440, The Woodlands, TX 77384-8015 | 2013-04-29 |
| 1093731747 | Natalie L Drake | Obstetrics & Gynecology | 17350 St Lukes Way Ste 350, The Woodlands, TX 77384-4103 | 2006-07-14 |
| 1396714697 | Tessa A Kincade | Obstetrics & Gynecology | 104 S Flagstone Path Cir, The Woodlands, TX 77381-6620 | 2006-03-17 |
| 1306823349 | Patricia E Laden | Obstetrics & Gynecology | 17198 St. Luke's Way, Suite 250, The Woodlands, TX 77384-8019 | 2005-12-30 |
| 1720076573 | John Harold Williams | Obstetrics & Gynecology | 17198 St Lukes Way, #440, The Woodlands, TX 77384-8011 | 2005-10-06 |
| 1568457992 | Marion A Reynolds | Obstetrics & Gynecology | 2500 S Millbend Dr Apt 7101, The Woodlands, TX 77380-2464 | 2005-09-12 |
| 1871944165 | Woodlands Obstetrics and Gynecology Pllc | Obstetrics & Gynecology | 1001 Medical Plaza Dr., Suite 280, The Woodlands, TX 77380-3209 | 2016-06-28 |
| 1699107680 | Women's Gynecology & Wellness, Pa | Obstetrics & Gynecology | 111 Vision Park Blvd, Suite 270, The Woodlands, TX 77384-3002 | 2013-08-01 |
| 1013260207 | San Martin Ob Gyn & Womens Healthcare P A | Obstetrics & Gynecology | 3115 College Park Dr Ste 110, The Woodlands, TX 77384-4001 | 2012-10-25 |
| 1619226255 | Tiffany Nicole Tracy | Obstetrics & Gynecology | 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 | 2012-08-29 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on JENNIFER HONEYCUTT BREAZEALE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.