DR. AYOTUNDE GREGORY FAWEYA (NPI# 1609104785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609104785 |
| Entity Type | Individual |
| Full Name | DR. AYOTUNDE GREGORY FAWEYA |
| Credential | MD |
| Practice Address |
15210 I-45 South Suite 110 Conroe TX 77384-4105 |
| Practice Telephone | 9362708655 |
| Practice Fax Number | 9362708739 |
| Mailing Telephone | 9362708655 |
| Mailing Fax Number | 9362708739 |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2017-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | P4646 | TX | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ME111094 | FL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 28250 | OK | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2009-01988 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
15210 I-45 SOUTH SUITE 110 |
| City | CONROE |
| State | TX |
| Zip Code | 77384-4105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669928883 | Northside Pediatrics Associates, Pa | Pediatrics | 15210 I-45 South, Suite 110, Conroe, TX 77384-4105 | 2016-08-28 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644251 | Bee & Bee Pediatrics | Pediatrics | 10393 League Line Rd, Conroe, TX 77304-1028 | 2016-04-11 |
| 1174893929 | George Daniel Pope | Pediatrics | 11815 White Oak Trl, Conroe, TX 77385-2735 | 2012-01-11 |
| 1306922182 | Trecia L Elahee White | Pediatrics | 3115 College Park Dr Ste 104, Conroe, TX 77384-4001 | 2006-10-27 |
| 1043224132 | Michael Ebhota Okogbo | Pediatrics | 15210 I-45 S, Suite 110, Conroe, TX 77384-4105 | 2006-07-27 |
| 1467453969 | Marjorie Quarles | Pediatrics | 404 River Pointe Dr, 100, Conroe, TX 77304-2836 | 2005-08-09 |
| 1932686714 | Tina Marie Lynch | Pediatrics | 602 W Semands St, Conroe, TX 77301-1867 | 2018-07-24 |
| 1669928883 | Northside Pediatrics Associates, Pa | Pediatrics | 15210 I-45 South, Suite 110, Conroe, TX 77384-4105 | 2016-08-28 |
| 1063876340 | Roca Medical Center | Pediatrics | 10393 League Line Rd, Conroe, TX 77304-1028 | 2016-04-12 |
| 1104261031 | Lesley Gardiner | Pediatrics | 404 River Pointe Dr, Suite 100, Conroe, TX 77304-2836 | 2013-05-06 |
| 1134475700 | Maxwell Sobechi Nwugbana | Pediatrics | 504 Medical Center Blvd, Conroe, TX 77304 | 2012-08-01 |
| Find all providers in CONROE | ||||
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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.