Houston Southwest Colon and Rectal Clinic, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

P2469 Issued in TX

Legal business name

HOUSTON SOUTHWEST COLON AND RECTAL CLINIC, PLLC

Practice address

1400 Creek Way Dr
Suite 100
Sugar Land, TX 77478-4072

Phone

(281) 615-9297

NPI assigned

Dec 24, 2013

Last updated

Dec 24, 2013By 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

Dr. Konya Kavita Keeling-Johnson, MD

Title

Owner

Phone

(281) 615-9297

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8708/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387843200000",
    "number": "1083035711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "SUITE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072",
            "telephone_number": "281-615-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON SOUTHWEST COLON AND RECTAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A",
        "authorized_official_last_name": "KEELING-JOHNSON",
        "authorized_official_first_name": "KONYA",
        "authorized_official_middle_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-615-9297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "P2469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eardie Houston, PHARMD

• Surgery Physician in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; 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.