Kirby Glen Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007897 Issued in TX

Legal business name

KIRBY GLEN SURGERY CENTER, LLC

Practice address

2459 S Braeswood Blvd
Houston, TX 77030-4305

Phone

(713) 529-8600

Fax

(713) 529-8603

NPI assigned

Nov 28, 2011

Last updated

Nov 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcelo M Puiggari, JD

Title

General Counsel / VP Legal Services

Phone

(405) 608-1735

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Memorial Hermann Surgery Center Kirby, LLC

  dba Memorial Hermann Surgery Center Kirby Glen

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1518344043

  O20130103000219

  Same enrollment

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322438400000",
    "number": "1073880530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-608-1766",
            "fax_number": "405-608-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304305",
            "telephone_number": "713-529-8600",
            "fax_number": "713-529-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY GLEN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A",
        "authorized_official_last_name": "PUIGGARI",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENERAL COUNSEL / VP LEGAL SERVICES",
        "authorized_official_telephone_number": "405-608-1735",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Kipkoech, MD
• Kipp Inc.
• Kira Dionne Wellness LLC
• Katherine Kirages-Gordon, LCSW
• Kirby Emergency Physicians PLLC
• Kirby Health & Wellness
• Kirby Medical Associates, PLLC
• Kirby Sa Services, Inc.
• Jacqueline Courtney Kirby, MA, OTR/L
• Randall Parker Kirby Jr., MD

• Ambulatory Surgical Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.