NPIMap

Individual provider Active NPI

Patricia Werderman, CSFA

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1124485461
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
160414
Practice address
9800 Centre Pkwy
530
Houston, TX 77036-8271
Phone
(713) 777-4539
Fax
(713) 583-2061
NPI assigned
Jan 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 160414 Primary

Addresses

Primary practice location

9800 Centre Pkwy
530
Houston, TX 77036-8271

Mailing address

9800 Centre Pkwy
530
Houston, TX 77036-8271
Phone (713) 777-4539

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Access Institute, LLC Past Accepting new patients
Mary C Valentine Lsa Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1124485461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 CENTRE PKWY",
            "address_2": "530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368271",
            "telephone_number": "713-777-4539",
            "fax_number": "713-583-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 CENTRE PKWY",
            "address_2": "530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368271",
            "telephone_number": "713-777-4539",
            "fax_number": "713-583-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERDERMAN",
        "first_name": "PATRICIA",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "160414",
            "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 Jan 18, 2016; 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.