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

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  • 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 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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
  • 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
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite 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
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + 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
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS

*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

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336753508, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 4 + 5 + 6 + 5 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1336753508.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Physical Therapist (Orthopedic)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Physical Therapist (Orthopedic)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Internal Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Internal Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Family Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Internal Medicine
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Pain Medicine (Pain Medicine)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Anesthesiology
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Hospitalist
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380
Nurse Practitioner (Family)
9201 PINECROFT DR STE 200
SHENANDOAH, TX 77380

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336753508, enumerated 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.

Family Medicine with taxonomy code 207QA0505X and 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 verify.