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CONROE-WOODLANDS GASTROENTEROLOGY, P.A.
NPI 1962539155
Internal Medicine - Gastroenterology in Conroe, TX

Active since February 27, 2007CLIA Certified · 2 labs
1020 RIVERWOOD CT STE 300, CONROE, TX 77304(936) 760-1900(936) 441-1907 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Conroe-woodlands Gastroenterology, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONROE-WOODLANDS GASTROENTEROLOGY, P.A. (NPI 1962539155) is a healthcare organization registered as a gastroenterology in Conroe, Texas and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Stephen Michael Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1962539155
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameCONROE-WOODLANDS GASTROENTEROLOGY, P.A.
Location Address1020 RIVERWOOD CT STE 300Conroe, TX 77304-2974
Mailing Address1020 Riverwood Ct Ste 300Conroe, TX 77304-2974 · (936) 760-1900 · Fax (936) 441-1907
Phone(936) 760-1900
Fax(936) 441-1907
Organization SubpartNo
Authorized OfficialStephen Michael KellyPresident · (936) 760-1900
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1962539155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1020 RIVERWOOD CT STE 300, Conroe, TX 77304
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Other Identifiers 1

Medicaid1729485TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0943120

Conroe-Woodlands Gastroenterology · Conroe, TX
Active · expires Mar 12, 2027
CLIA Number45D0943120
Laboratory TypePhysician Office
Certificate Effective DateMarch 13, 2025
Certificate Expiration DateMarch 12, 2027
Laboratory DirectorStephen M. Kelly
Laboratory Phone(936) 760-1900
Laboratory LocationConroe-Woodlands Gastroenterology1020 Riverwood Court Suite 300, Conroe, TX 77304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 45D2327769

Conroe-Woodlands Gastroenterology, PA · Conroe, TX
Active · expires Jul 28, 2027
CLIA Number45D2327769
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorJennifer Do
Laboratory Phone(936) 760-1900
Laboratory LocationConroe-Woodlands Gastroenterology, PA1020 Riverwood Ct # 300, Conroe, TX 77304
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conroe-Woodlands Gastroenterology, P.A.'s NPI number?

The NPI number for Conroe-Woodlands Gastroenterology, P.A. is 1962539155. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Conroe-Woodlands Gastroenterology, P.A. located?

Conroe-Woodlands Gastroenterology, P.A. is located at 1020 Riverwood Ct Ste 300, Conroe, TX 77304. The listed phone number is (936) 760-1900.

What is Conroe-Woodlands Gastroenterology, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Conroe-Woodlands Gastroenterology, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Conroe-Woodlands Gastroenterology, P.A. was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.