Active NPI
North Pines Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Conroe, TX
National Provider Identifier
1013392042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NORTH PINES SURGERY CENTER, LLC
- Practice address
- 4019 I 45 N
Suite 150
Conroe, TX 77304-4901 - Phone
- (936) 641-8181
- Fax
- (936) 641-8203
- NPI assigned
- Jul 20, 2015
- Last updated
- Jul 20, 2015
- 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
- Dr. Stephen M Sims, M.D.
- Title
- President
- Phone
- (979) 488-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | TX | Primary |
Addresses
Primary practice location
4019 I 45 N
Suite 150
Conroe, TX 77304-4901
Mailing address
4019 I 45 N
Suite 150
Conroe, TX 77304-4901
Phone (936) 641-8181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160125002150 | TX | Part B Supplier - Ambulatory Surgical Center | 1658674692 | Practice locations: Conroe, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- North Pines Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2101233 | North Pines Surgery Center LLC | Certificate of waiver | Aug 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
4019 I 45 N
Conroe, TX 77304
Phone (936) 228-9447
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine Physician
- Huntsville, TX
- NPI 1174535033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437350400000",
"number": "1013392042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 I 45 N",
"address_2": "SUITE 150",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-641-8181",
"fax_number": "936-641-8203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 I 45 N",
"address_2": "SUITE 150",
"city": "CONROE",
"state": "TX",
"postal_code": "773044901",
"telephone_number": "936-641-8181",
"fax_number": "936-641-8203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH PINES SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-20",
"last_updated": "2015-07-20",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "979-488-9000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Sapphire Elissa Noel-McDonald, PMHNP
- Courtney Noetzel
- Alec Nolan, DO
- Kim Norris, MD
- North Houston Anesthesiologists
- North Star Home Healthcare Services, Inc.
- North Star Hospice Care Services Inc
- Northland Hearing Centers, Inc. (NewSound Hearing Aid Centers)
- Northside Pediatrics Associates, PA
- Northwest Surgical & Critical Care Associates, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.