Individual provider Active NPI

Magdy A Emam, LSA CSA LICENSED CER

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1073683322
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
SA00119 Issued in TX
Practice address
4200 Tall Oaks Drive
Houston, TX 77084-5544
Phone
(281) 948-1223
Fax
(281) 646-8711
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X SA00119 TX Primary

Addresses

Primary practice location

4200 Tall Oaks Drive
Houston, TX 77084-5544

Mailing address

18723 Appletree Hill LN
Houston, TX 77084-5544
Phone (281) 948-1223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certificate

State licenses

LicenseStateTypeSpecialty
SA00119TXMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073683322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18723 APPLETREE HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845544",
            "telephone_number": "281-948-1223",
            "fax_number": "281-646-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TALL OAKS DRIVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845544",
            "telephone_number": "281-948-1223",
            "fax_number": "281-646-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMAM",
        "first_name": "MAGDY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LSA CSA LICENSED CER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "SA00119",
            "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 Jul 8, 2007; 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.