Active NPI
Soren John Vindekilde, MD
- Obstetrics & Gynecology Physician
- Houston, TX
National Provider Identifier
1114144961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G2877
- Practice address
- 4600 Gulf Fwy
Houston, TX 77023-3548 - Phone
- (713) 831-6554
- Fax
- (713) 535-2554
- NPI assigned
- Apr 20, 2007
- Last updated
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G2877 | TX | Primary |
Addresses
Primary practice location
4600 Gulf Fwy
Houston, TX 77023-3548
Mailing address
4600 Gulf Fwy
Houston, TX 77023-3548
Phone (713) 831-6554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TPI107554101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G2877 | TX | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1114144961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770233548",
"telephone_number": "713-831-6554",
"fax_number": "713-535-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770233548",
"telephone_number": "713-831-6554",
"fax_number": "713-535-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINDEKILDE",
"first_name": "SOREN",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "G2877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TPI107554101",
"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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.