WOODLANDS DIAGNOSTIC CLINIC, PA
NPI 1336753508
Family Medicine - Adult Medicine in Shenandoah, TX

NPI Status: Active since September 03, 2020

Contact Information

9201 PINECROFT DR STE 200
SHENANDOAH, TX
ZIP 77380
Phone: (281) 863-9554

Get Directions Reviews

  • Organization
  • Family Medicine
  • Adult Medicine
  • Accepts Insurance
  • CLIA Number: 45D2320964
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-25-2027

About WOODLANDS DIAGNOSTIC CLINIC, PA

This page provides the complete NPI Profile along with additional information for Woodlands Diagnostic Clinic, Pa, a primary care provider established in Shenandoah, Texas operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1336753508 assigned on September 2020. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Tammie Rogers Lvn (Director)

NPI
1336753508
Provider Name
WOODLANDS DIAGNOSTIC CLINIC, PA
Entity Type
Organization
Location Address
9201 PINECROFT DR STE 200 SHENANDOAH, TX 77380
Location Phone
(281) 863-9554
Mailing Address
9201 PINECROFT DR STE 200 SHENANDOAH, TX 77380
Mailing Phone
(281) 863-9554
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-03-2020
Last Update Date
08-07-2023
Code Navigator

A primary care provider (PCP) like Woodlands Diagnostic Clinic, Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 9201 Pinecroft Dr
    Shenandoah, TX 77380
    (281) 863-9554

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold (QualChoice) - POS
  • Elite Gold (QualChoiceLife) - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Everyday Silver (QualChoiceLife) - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMMIE ROGERS LVN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(281) 863-9554

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2320964
Facility Type
Physician Office
Certificate Effective Date
March 26, 2025
Certificate Expiration Date
March 25, 2027
Laboratory Director
TODD J. YOUNGBLOOD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Woodlands Diagnostic Clinic, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WOODLANDS DIAGNOSTIC CLINIC, PA

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336753508
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366145650
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 5 + 6 + 5 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1336753508 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336484088DR. MICHELLE HOWZE MOORE DPT
Individual
Physical Therapist (Orthopedic)9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 394-4704
1679236038DISTINCTIVE PHYSICAL THERAPY AND WELLNESS CENTER PLLC
Organization
Physical Therapist (Orthopedic)9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 394-4704
1659727105 SHARON OGIDAN MD
Individual
Internal Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554
1760456545 WILLIAM A FRIDLEY M.D.
Individual
Internal Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554
1992779961 STEPHEN D FILLMAN MD
Individual
Internal Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554
1912919473 TODD J YOUNGBLOOD MD
Individual
Family Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554
1629367602 PATRICK TOLUWATELE OGIDAN M.D.
Individual
Internal Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554
1073873386 CLAYTON MARK BARHORST M.D.
Individual
Pain Medicine (Interventional Pain Medicine)9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(832) 953-2280
1659485894LEGACY PAIN ASSOCIATES, P.A.
Organization
Pain Medicine (Pain Medicine)9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(832) 953-2280
1013406594LEGACY ANESTHESIA ASSOCIATES PA
Organization
Anesthesiology9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(832) 953-2280
1093332538 NATALIE DANIELLE GORDON M.D.
Individual
Internal Medicine9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
(281) 863-9554

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336753508, enumerated in the NPI registry as an "organization" on September 03, 2020

The provider is located at 9201 Pinecroft Dr Ste 200 Shenandoah, Tx 77380 and the phone number is (281) 863-9554

This medical organization specializes in Family Medicine with taxonomy code 207QA0505X with a focus in Adult Medicine

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D2320964 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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