Active NPI
Memorial Hermann Health System
- Ambulatory Surgical Clinic/Center
- Sugar Land, TX
National Provider Identifier
1013130129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- MEMORIAL HERMANN HEALTH SYSTEM
- 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
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146021402 | Medicaid | TX |
Other names 1
- Memorial Hermann Sugar Land ASC
National Provider Directory
National Provider Directory- Tax ID family
- Geriatric Resource Cent
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.
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- General Acute Care Hospital
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Interoperability endpoints
- 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.