Organization Active NPI

Modern Anesthesia PLLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1063910495
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MODERN ANESTHESIA PLLC
Practice address
7500 Beechnut St Ste 280
Houston, TX 77074-4311
Phone
(713) 981-6611
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Pawan Grover, MD
Title
Owner
Phone
(713) 732-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

7500 Beechnut St Ste 280
Houston, TX 77074-4311

Mailing address

7500 Beechnut St Ste 280
Houston, TX 77074-4311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1063910495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 BEECHNUT ST STE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770744311",
            "telephone_number": "713-981-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "PAWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-732-9694",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2018; 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.