Active NPI
Peasie Surgical Associates, PA
- Ambulatory Surgical Clinic/Center
- Houston, TX
National Provider Identifier
1104009281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PEASIE SURGICAL ASSOCIATES, PA
- Practice address
- 9300 Kirby Dr
Suite 100
Houston, TX 77054-2530 - Phone
- (832) 201-5157
- NPI assigned
- Dec 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jodie R Ellis
- Title
- Business Office Supervisor
- Phone
- (832) 201-5157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9300 Kirby Dr
Suite 100
Houston, TX 77054-2530
Mailing address
PO Box 1759
Dept 764
Houston, TX 77251-1759
Phone (832) 201-5157
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1104009281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1759",
"address_2": "DEPT 764",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772511759",
"telephone_number": "832-201-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 KIRBY DR",
"address_2": "SUITE 100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770542530",
"telephone_number": "832-201-5157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEASIE SURGICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JODIE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
"authorized_official_telephone_number": "832-201-5157"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"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 Dec 11, 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.