| Conroe Montgomery Physicians Group, Pllc | |
|
508 Medical Center Blvd Ste 200 Conroe TX 77304-2808 | |
| (936) 760-4600 | |
| Not Available |
| Full Name | Conroe Montgomery Physicians Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 508 Medical Center Blvd Ste 200, Conroe, Texas |
| Authorized Official Name and Position | Mark Pickett (VICE PRESIDENT) |
| Authorized Official Contact | 7138521550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Conroe Montgomery Physicians Group, Pllc 508 Medical Center Blvd Ste 200 Conroe TX 77304-2808 Ph: (936) 760-4600 | Conroe Montgomery Physicians Group, Pllc 508 Medical Center Blvd Ste 200 Conroe TX 77304-2808 Ph: (936) 760-4600 |
| NPI Number | 1518220094 |
|---|---|
| Provider Enumeration Date | 06/20/2012 |
| Last Update Date | 06/20/2012 |
| Medicare PECOS PAC ID | 1850547365 |
|---|---|
| Medicare Enrollment ID | O20120815000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518220094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Jerome Clayton Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518958230 PECOS PAC ID: 1850382821 Enrollment ID: I20040519000757 |
| Provider Name | James P Oneal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376527218 PECOS PAC ID: 1052340379 Enrollment ID: I20050808000459 |
| Provider Name | Robert Stephen Ellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093864027 PECOS PAC ID: 6204881725 Enrollment ID: I20050908001107 |
| Provider Name | Nimesh M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740228915 PECOS PAC ID: 2163452640 Enrollment ID: I20060711000159 |
| Provider Name | Kenneth S Helmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497785356 PECOS PAC ID: 0749284073 Enrollment ID: I20060829000301 |
| Provider Name | Stephen Gale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407862410 PECOS PAC ID: 1052386273 Enrollment ID: I20060908000377 |
| Provider Name | Charlie F Dendy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508087438 PECOS PAC ID: 3577652122 Enrollment ID: I20071204000598 |
| Provider Name | Amy K Mellonig |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649442690 PECOS PAC ID: 4284708835 Enrollment ID: I20080731000241 |
| Provider Name | Karen J Brock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033123781 PECOS PAC ID: 2365509072 Enrollment ID: I20090415000647 |
| Provider Name | Gary Neal Sharpless |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982792883 PECOS PAC ID: 4587759329 Enrollment ID: I20100923000973 |
| Provider Name | Blair Philip Jordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457448490 PECOS PAC ID: 3072701671 Enrollment ID: I20101227000263 |
| Provider Name | Francis J Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578651402 PECOS PAC ID: 0345439451 Enrollment ID: I20110105000486 |
| Provider Name | Victoria M Adeleye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124031281 PECOS PAC ID: 1850397688 Enrollment ID: I20110124000157 |
| Provider Name | Jeffrey A Przybyla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942454137 PECOS PAC ID: 9335324110 Enrollment ID: I20110420000351 |
| Provider Name | Yaiyun Judy Cheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194759258 PECOS PAC ID: 5496746190 Enrollment ID: I20111013000249 |
| Provider Name | Amy N Moore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881694073 PECOS PAC ID: 0749443729 Enrollment ID: I20120601000106 |
| Provider Name | Evelyn Simmons |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255460408 PECOS PAC ID: 3870484009 Enrollment ID: I20140116000284 |
| Provider Name | Alanna Karyn Gale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740642107 PECOS PAC ID: 1951661677 Enrollment ID: I20180129000171 |
| Provider Name | Janice Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134598873 PECOS PAC ID: 0648525469 Enrollment ID: I20180620000331 |
| Provider Name | Fiona L White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699123661 PECOS PAC ID: 0941611172 Enrollment ID: I20201119001499 |
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