NPIMap

Organization Active NPI

Memorial Hermann Health System

Doing business as Memorial Hermann Sugar Land ASC

  • Ambulatory Surgical Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1013130129
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Memorial Hermann Sugar Land ASC
Practice address
17500 W Grand Pkwy S
Sugar Land, TX 77479-2562
Phone
(281) 725-5000
Fax
(713) 338-4158
NPI assigned
Apr 10, 2007
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

17500 W Grand Pkwy S
Sugar Land, TX 77479-2562

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
146021402MedicaidTX

Other names 1

  • Memorial Hermann Sugar Land ASC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Geriatric Resource CNTR66 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Interoperability endpoints

  • FHIR API: https://epicproxy.et1326.epichosted.com/FHIRProxy/MYMH/api/FHIR/R4

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1013130129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 W GRAND PKWY S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792562",
            "telephone_number": "281-725-5000",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146021402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann Sugar Land ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.