KATERYNA KOMAROVSKIY, MD, PLLC (NPI# 1366984288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984288 |
| Entity Type | Organization |
| Organization Name | KATERYNA KOMAROVSKIY, MD, PLLC |
| Other Organization Name | CONROE ENDOCRINOLOGY CENTER |
| Practice Address |
150 Pine Forest Dr # 103 Shenandoah TX 77384-5302 |
| Mailing Address |
150 Pine Forest Dr #103 Shenandoah TX 77384 |
| Practice Telephone | 9367554238 |
| Practice Fax Number | 9367555979 |
| Mailing Telephone | 9367554238 |
| Mailing Fax Number | 9367555979 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | KATERYNA KOMAROVSKIY (OWNER) |
| Authorized Official Telephone | 9367554238 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
N8941 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conroe Endocrinology Center | Doing Business As Name - Organization |
| Street Address |
150 PINE FOREST DR # 103 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-5302 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356523823 | Dcoa Physician Associates Pa | Internal Medicine | 17937 I-45 Ste. 115, Shenandoah, TX 77385-8708 | 2007-11-27 |
| 1265694285 | Kateryna Komarovskiy | Internal Medicine | 150 Pine Forest Dr, Suite 103, Shenandoah, TX 77384-5302 | 2008-06-30 |
| 1891851531 | Ulupi Asit Choksi | Internal Medicine | 9200 Pinecroft Dr, Suite 470, Shenandoah, TX 77380-3279 | 2006-12-28 |
| 1356439087 | Chun-kwok Wong | Internal Medicine | 9200 Pinecroft Dr, Suite 470, Shenandoah, TX 77380-3279 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197816 | Diabetes & Endocrinology Clinic of South Texas Pllc | Internal Medicine | 620 N Ed Carey Dr, Harlingen, TX 78550-7912 | 2020-09-05 |
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1053963389 | Ruba Riachy | Internal Medicine | The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555 | 2019-07-16 |
| 1093235350 | Endo Telehealth Pllc | Internal Medicine | 12518 Cutten Rd Ste B, Houston, TX 77066-1804 | 2017-06-27 |
| 1851827331 | Texas Associates of Endocrinology & Diabetes Pa | Internal Medicine | 942 Pheasant Dr, Allen, TX 75013-4891 | 2017-05-03 |
| 1265894604 | John W. Richard, Md, Pllc | Internal Medicine | 4604 Sebago Trl, Plano, TX 75093-3394 | 2016-03-24 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1649646357 | Southeast Texas Self-management of Diabetes | Internal Medicine | 3030 North St Ste 560, Beaumont, TX 77702-1424 | 2015-08-17 |
| 1619364510 | Umara Jamal | Internal Medicine | 2802 Woodspring Acres Dr, Kingwood, TX 77345-2533 | 2015-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
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| 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.