Organization Active NPI

Nova Healthcare, PA

  • Occupational Medicine Physician
  • Houston, TX
National Provider Identifier
1124443106
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
800013427 Issued in TX
Legal business name
NOVA HEALTHCARE, PA
Practice address
2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Phone
(713) 880-4400
Fax
(832) 320-3179
NPI assigned
Feb 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Mr. Mark Neer
Title
Senior Vice President
Phone
(832) 320-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X 800013427 TX Primary

Addresses

Primary practice location

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834

Mailing address

2425 Fountain View Dr Ste 160
Houston, TX 77057-4834
Phone (713) 880-4400

Other names 1

  • Nova Medical Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Healthcare PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1124443106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834",
            "telephone_number": "713-880-4400",
            "fax_number": "713-869-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 FOUNTAIN VIEW DR STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770574834",
            "telephone_number": "713-880-4400",
            "fax_number": "832-320-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HEALTHCARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "NEER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "832-320-3179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "800013427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Medical Centers",
            "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 Dec 11, 2019; 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.