MEMORIAL HERMANN HEALTH SYSTEM (NPI# 1962676965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962676965 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN HEALTH SYSTEM |
| Other Organization Name | MEMORIAL HERMANN IMAGING CENTERS-CONROE CENTER |
| Practice Address |
1150 N Loop 336 W Conroe TX 77301-1156 |
| Mailing Address |
Po Box 301208 Dallas TX 75303-1208 |
| Practice Telephone | 9364422633 |
| Practice Fax Number | 7133384158 |
| Mailing Telephone | 7133384127 |
| Mailing Fax Number | 7133384158 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2014-06-27 |
| Authorized Official Name | MR. DENNIS LARAWAY (CFO) |
| Authorized Official Telephone | 7132422707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Memorial Hermann Imaging Centers-Conroe Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295199982 | Memorial Hermann Health System | Behavioral Analyst | 3043 Gessner Rd, Houston, TX 77080-1000 | 2016-04-08 |
| 1851566756 | Memorial Hermann Health System | Clinic/Center | 9418 Gaylord St, Houston, TX 77024-3034 | 2008-04-23 |
| 1841465697 | Memorial Hermann Health System | Clinic/Center | 16550-b Southwest Fwy, Sugar Land, TX 77479-2328 | 2008-04-23 |
| 1578738472 | Memorial Hermann Health System | Clinic/Center | 9767 Fm 1960 Bypass Rd W, Humble, TX 77338-4067 | 2008-04-23 |
| 1154595155 | Memorial Hermann Health System | Clinic/Center | 13525 East Fwy, Houston, TX 77015-5902 | 2008-04-22 |
| 1588838593 | Memorial Hermann Health System | Clinic/Center | 7520 Fm 1960 Rd W, Houston, TX 77070-5840 | 2008-04-22 |
| 1437323482 | Memorial Hermann Health System | Clinic/Center | 3620 Spencer Hwy, Pasadena, TX 77504-1112 | 2008-04-21 |
| 1285789917 | Memorial Hermann Health System | Hospice Care, Community Based | 902 Frostwood Dr Ste 288, Houston, TX 77024-2403 | 2007-01-24 |
| 1295843787 | Memorial Hermann Health System | Clinic/Center | 18951 Memorial North, Humble, TX 77338-4217 | 2006-08-26 |
| 1083631972 | Memorial Hermann Health System | Home Infusion | 16538 Air Center Blvd, Suite 200, Houston, TX 77032-5144 | 2006-07-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Memorial Hermann Health System | 929 Gessner, Suite 2700, Houston, TX 77024 |
| Street Address |
1150 N LOOP 336 W |
| City | CONROE |
| State | TX |
| Zip Code | 77301-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558756445 | Shawn Pratt | Physical Medicine & Rehabilitation | 1150 N Loop 336 W, Conroe, TX 77301-1156 | 2015-03-30 |
| 1023447497 | Stephen Daniel Hollek | Physical Therapist | 1150 N Loop 336 W, Conroe, TX 77301-1156 | 2013-11-06 |
| 1124456892 | Jimmy Rosales Jr. | Physician Assistant | 1150 N Loop 336 W, Conroe, TX 77301 | 2013-10-16 |
| 1164675807 | Memorial Hermann Health System | Physiological Laboratory | 1150 N Loop 336 W, Conroe, TX 77301-1156 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669116 | Lois Talford | Technician | 907 Bellshire Dr. Apt 101, Conroe, TX 77301 | 2019-09-20 |
| 1033694187 | Rgt Dental Care | Dentist | 402 Simonton St. Suite 100, Conroe, TX 77301 | 2018-09-25 |
| 1942782396 | Traci Hines | Counselor | 1427 Apple Orchard Trail, Conroe, TX 77301 | 2018-09-02 |
| 1124507314 | Katie Marie Sandoval | Licensed Vocational Nurse | 602 W Semans St, Conroe, TX 77301 | 2018-08-09 |
| 1811475841 | Ihuoma Chinagorom Enyidede | Licensed Vocational Nurse | 602 W Semands Street, Conroe, TX 77301 | 2018-08-01 |
| 1336626779 | Nancy Mbongeh Ndamukong | Registered Nurse | 202 West Semands Street, Conroe, TX 77301 | 2018-07-27 |
| 1780172585 | Ingeborg Christina Meek | Registered Nurse | 6020 W. Semands Street, Conroe, TX 77301 | 2018-04-26 |
| 1902342926 | Gloria E Kessler | Counselor | 1101 N Thompson St, Conroe, TX 77301 | 2017-01-14 |
| 1770945412 | Standing Oak Homehealthcare LLC | Hospice Care, Community Based | 926 Fife, Conroe, TX 77301 | 2016-03-22 |
| 1316327117 | Ayaba Guiste | Dentist | 1154, 1002 N Loop 336 W, Conroe, TX 77301 | 2015-06-05 |
| Find all providers in zip 77301 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164675807 | Memorial Hermann Health System | Physiological Laboratory | 1150 N Loop 336 W, Conroe, TX 77301-1156 | 2008-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
| 1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
| 1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
| 1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
| 1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
| 1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
| 1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
| 1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
| 1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
| 1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
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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.