KEYSTONE SURGICENTER LLC (NPI# 1386199354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386199354 |
| Entity Type | Organization |
| Organization Name | KEYSTONE SURGICENTER LLC |
| Practice Address |
3115 College Park Dr Suite 101b The Woodlands TX 77384 |
| Practice Telephone | 9363214345 |
| Practice Fax Number | 9363214353 |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | MR. THOMAS O SHANNON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9363214345 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
3115 COLLEGE PARK DR SUITE 101B |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856230 | Mark J Egerman | Anesthesiology | 3115 College Park Dr, Unit 103c, The Woodlands, TX 77384-4000 | 2005-07-22 |
| 1558989095 | Bobby Jacobs | Nurse Practitioner | 3115 College Park Dr, The Woodlands, TX 77384-4000 | 2020-07-10 |
| 1194198473 | Alexandra Nicole Mccain | Physical Therapist | 3115 College Park Dr, Suite 109, The Woodlands, TX 77384-4000 | 2015-11-09 |
| 1356789036 | Apurv K Varia Pllc | Internal Medicine | 3115 College Park Dr, #107, The Woodlands, TX 77384-4000 | 2013-06-05 |
| 1740522077 | College Park Pain and Recovery | Chiropractor | 3115 College Park Dr, Suite 102, The Woodlands, TX 77384-4000 | 2013-03-25 |
| 1760728315 | Paige Rose King | Nurse Practitioner | 3115 College Park Dr, Ste 110, The Woodlands, TX 77384-4000 | 2012-12-28 |
| 1073808416 | Shail Maheshwari Md Pllc | Internal Medicine | 3115 College Park Dr, Suite 107, The Woodlands, TX 77384-4000 | 2011-06-14 |
| 1578857512 | Apurv Kirit Varia | Internal Medicine | 3115 College Park Dr, #107, The Woodlands, TX 77384-4000 | 2011-06-07 |
| 1255562021 | Usm Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 3115 College Park Dr, Suite 107, The Woodlands, TX 77384-4000 | 2009-07-28 |
| 1801033139 | North Houston Cancer Clinics, P.a. | Durable Medical Equipment & Medical Supplies | 3115 College Park Dr, Suite 108, The Woodlands, TX 77384-4000 | 2009-01-08 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1871158436 | Evergreen Surgical Center | Clinic/Center | 9303 New Trails Dr Ste 180, The Woodlands, TX 77381-5009 | 2019-05-08 |
| 1124584263 | Stoneridge Surgical Center, LLC | Clinic/Center | 6701 Lake Woodlands Dr Ste 165, The Woodlands, TX 77382-2565 | 2019-02-13 |
| 1417443011 | Aristo Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 250, The Woodlands, TX 77381-2695 | 2018-07-06 |
| 1497269005 | Surgery Center of The Woodlands, LLC | Clinic/Center | 10847 Kuykendahl Rd Ste 150, The Woodlands, TX 77382-2934 | 2017-11-20 |
| 1366952715 | Hunterglen Surgical Center, LLC | Clinic/Center | 6701 Lake Woodlands Dr Ste 150, The Woodlands, TX 77382-2565 | 2017-10-11 |
| 1003339698 | New Trails Surgical Center, LLC | Clinic/Center | 9303 New Trails Dr Ste 175, The Woodlands, TX 77381-5023 | 2017-07-25 |
| 1194271338 | Conroe Asc, Lp | Clinic/Center | 17183 1-45 South, Suite 360, The Woodlands, TX 77385 | 2016-08-28 |
| 1033407945 | Envoy Medical Implant Center | Clinic/Center | 9303 New Trails Dr, The Woodlands, TX 77381-5009 | 2011-07-12 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| 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.