NPIMap

Organization Active NPI

Baylor College of Medicine

Doing business as Scott Department of Urology

  • Urology Physician
  • Houston, TX
National Provider Identifier
1114944733
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
H1343 Issued in TX
Legal business name
BAYLOR COLLEGE OF MEDICINE
Doing business as
Scott Department of Urology
Practice address
6620 Main St
Suite 1325
Houston, TX 77030-2348
Phone
(713) 798-4001
Fax
(713) 798-5553
NPI assigned
Jul 17, 2006
Last updated
Mar 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Mr. Richard C Allison III
Title
Executive Director
Phone
(713) 798-1746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X H1343 TX Primary

Addresses

Primary practice location

6620 Main St
Suite 1325
Houston, TX 77030-2348

Mailing address

P. O. Box 4504
Houston, TX 77210-4504
Phone (713) 798-4001

Other names 1

  • Scott Department of Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000562 TX Part B Supplier - Clinic/Group Practice 8224941265 Receives reassigned benefits from 2,374 practitioners
46 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Pasadena, TX; Baytown, TX; Bellaire, TX; Galena Park, TX

Other NPIs on the same Medicare enrollment 46

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

View all 46

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1114944733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 4504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104504",
            "telephone_number": "713-798-4001",
            "fax_number": "713-798-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "address_2": "SUITE 1325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302348",
            "telephone_number": "713-798-4001",
            "fax_number": "713-798-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "713-798-1746",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "H1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Department of Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 1, 2012; 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.