Organization Active NPI

M Jamshidi DO PLLC

  • Vascular Surgery Physician
  • Houston, TX
National Provider Identifier
1073758116
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
M JAMSHIDI DO PLLC
Practice address
12606 W Houston Center Blvd
Suite 230
Houston, TX 77082-2784
Phone
(281) 496-0121
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Mohammad Jamshidi-NezhadNPI 1891797023
Title
D.O.
Phone
(281) 496-0121

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

12606 W Houston Center Blvd
Suite 230
Houston, TX 77082-2784

Mailing address

14815 Southwest Fwy
Sugar Land, TX 77478-5016

Other identifiers 1

IdentifierTypeStateIssuer
205410801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1073758116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14815 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD",
            "address_2": "SUITE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822784",
            "telephone_number": "281-496-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JAMSHIDI DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "JAMSHIDI-NEZHAD",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "281-496-0121"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205410801",
            "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 9, 2009; 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.