NPIMap

Organization Active NPI

Bayou City Anesthesia Group

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1063538643
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BAYOU CITY ANESTHESIA GROUP
Practice address
12950 East Fwy
Suite #100
Houston, TX 77015-5710
Phone
(713) 943-7246
Fax
(713) 943-2040
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Dr. Jerry M Keepers, MDNPI 1568497139
Title
President
Phone
(713) 943-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

12950 East Fwy
Suite #100
Houston, TX 77015-5710

Mailing address

308 W Parkwood Ave
#106
Friendswood, TX 77546-5478
Phone (713) 943-7246

Other identifiers 1

IdentifierTypeStateIssuer
177333501MedicaidTX

National Provider Directory

National Provider Directory

Locations

12950 East Fwy
Ste 100
Houston, TX 77015
Phone (713) 330-3887

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1063538643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W PARKWOOD AVE",
            "address_2": "#106",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465478",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 EAST FWY",
            "address_2": "SUITE #100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155710",
            "telephone_number": "713-943-7246",
            "fax_number": "713-943-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU CITY ANESTHESIA GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "KEEPERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-943-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177333501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.