NPIMap

Organization Active NPI

Southwest Orthopedic Group, LLP

  • Orthopaedic Surgery Physician
  • Houston, TX
National Provider Identifier
1073644498
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SOUTHWEST ORTHOPEDIC GROUP, LLP
Practice address
6560 Fannin St
Suite 1016
Houston, TX 77030-2761
Phone
(713) 610-4270
Fax
(713) 610-4271
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
Ms. Kim McConn
Title
Administrator
Phone
(713) 610-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X TX Primary

Addresses

Primary practice location

6560 Fannin St
Suite 1016
Houston, TX 77030-2761

Mailing address

6560 Fannin St
Suite 1016
Houston, TX 77030-2761
Phone (713) 610-4270

Other identifiers 1

IdentifierTypeStateIssuer
1518383-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041001000844 TX Part B Supplier - Clinic/Group Practice 2567431877 Receives reassigned benefits from 12 practitioners
Practice locations: Sugar Land, TX; Pearland, TX; Baytown, TX; Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3711 Garth Rd
Ste E
Baytown, TX 77521
Phone (713) 610-4270

19450 Katy Fwy
Houston, TX 77094

507 Park Grove Dr
Katy, TX 77450
Phone (281) 206-2127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/256/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6286/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1073644498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1016",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-610-4270",
            "fax_number": "713-610-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1016",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-610-4270",
            "fax_number": "713-610-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORTHOPEDIC GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MCCONN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-610-4270",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518383-01",
            "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 May 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.