Individual provider Active NPI

Christopher Paul Visser, MD

  • Emergency Medicine Physician
  • Shenandoah, TX
National Provider Identifier
1083814552
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N6089 Issued in TX
Practice address
9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone
(713) 897-2300
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301090671 MI
Emergency Medicine Physician 207P00000X N6089 TX Primary

Addresses

Primary practice location

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Mailing address

9250 Pinecroft Dr
Shenandoah, TX 77380-3218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000611 TX Practitioner - Emergency MedicinePractitioner - Internal Medicine 8426181371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medella Urgent Care PLLCGroup PAC ID 9234417767, 12 clinicians
Kingwood Physician Group PLLCGroup PAC ID 4183099005, 9 clinicians

Practice addresses (Care Compare)

18535 FM 1488 Rd
Magnolia, TX 77354-2700
Phone (346) 808-3670

23330 Hwy 59 N
Kingwood, TX 77339-4471
Phone (832) 777-6165

Hospital & facility affiliations

  • Elite Hospital Kingwood Hospital, Kingwood, TX, CCN 670285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301090671MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medella Urgent Care, PLLC CurrentSince Mar 6, 2016 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince Mar 7, 2012 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Kingwood Physician Group PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Medical Center Emergency Physicians PA Emergency Medicine Past Accepting new patients

Locations

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

10130 Louetta Rd
Ste L
Houston, TX 77070
Phone (281) 301-3130

23330 Highway 59 N
Kingwood, TX 77339
Phone (832) 777-6165

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

18535 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 356-6103

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1083814552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 PINECROFT DR",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803218",
            "telephone_number": "713-897-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090671",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N6089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.