DR. KENNETH QIAN WU (NPI# 1952632143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952632143 |
| Entity Type | Individual |
| Full Name | DR. KENNETH QIAN WU |
| Credential | M.D. |
| Practice Address |
111 Vision Park Blvd Ste 100 Shenandoah TX 77384-3003 |
| Practice Telephone | 7137141399 |
| Practice Fax Number | 7133895798 |
| Mailing Telephone | 7137141399 |
| Mailing Fax Number | 7133895798 |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2020-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | P7051 | TX | Allopathic & Osteopathic Physicians |
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
P7051 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
P7051 | TX | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
P7051 | TX | Allopathic & Osteopathic Physicians |
| N | 2083A0300X | P7051 | TX |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Vision Park Blvd Ste 100, Shenandoah, TX 773843003 | 8325623390 | 8325623391 |
| 1653 W Congress Pkwy, Chicago, IL 606123833 | 7133982667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275565392 | Kenneth Wu | Physical Medicine & Rehabilitation | 15 Versailles Blvd, Cherry Hill, NJ 08003-5133 | 2006-07-07 |
| 1164411757 | Kenneth Y Wu | Dentist | 5624 W 79th St, #5, Burbank, IL 60459-1381 | 2005-10-17 |
| 1942435961 | Kenneth Jingen Wu | Dentist | 10782 Hickory Ridge Rd, Columbia, MD 21044-3646 | 2009-05-19 |
| 1790703908 | Kenneth K Wu | Internal Medicine | 6410 Fannin St, 230, Houston, TX 77030-3000 | 2006-07-17 |
| 1336105055 | Kenneth R Wu | Pediatrics | 971 11th Ave, Longview, WA 98632-2503 | 2006-04-21 |
| Street Address |
111 VISION PARK BLVD STE 100 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77384-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013134196 | Michael Phillip Sprintz | Anesthesiology | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2007-04-19 |
| 1144863911 | Vitality Medical Group Pllc | Nurse Practitioner | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2019-10-23 |
| 1477100600 | Sprintz Center for Recovery, Pllc | Counselor | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2019-08-22 |
| 1780137885 | Ella Dickens | Counselor | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2016-07-26 |
| 1245663848 | Sprintz Center for Pain, Pllc | Counselor | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2013-08-19 |
| 1790027167 | Yoann Henry Millet | Anesthesiology | 111 Vision Park Blvd Ste 100, Shenandoah, TX 77384-3003 | 2013-03-22 |
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1760741664 | Woodlands Pain Institute Pllc | Pain Medicine | 9200 Pinecroft, Ste 455, Shenandoah, TX 77380-3279 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
| 1013575653 | University Pain Pllc | Pain Medicine | 4 Stillforest St, Houston, TX 77024-7518 | 2019-05-29 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77384 |
Please comment or provide details below to improve the information on DR. KENNETH QIAN WU.
| 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.