MH Emerus Tomball LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

MH EMERUS TOMBALL LLC

Practice address

16000 Southwest Fwy Ste 100
Sugar Land, TX 77479-2674

Phone

(281) 277-0911

Fax

(281) 277-4511

NPI assigned

May 2, 2018

Organization subpart

No

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

Authorized official

Name

John BuckNPI 1053383604

Title

President

Phone

(713) 637-1004

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Memorial Hermann First Colony Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670058

Legal name

MEMORIAL HERMANN FIRST COLONY HOSPITAL

Certification status

Terminated Voluntary: merger or closure, May 31, 2018

Provider type (POS)

Hospital – Short-term

Participating since

Oct 22, 2009

Last certification

Sep 30, 2015

Beds

7

Ownership / control type

Private (for profit)

Most recent change of ownership

Jul 1, 2017 (1 total)

Facility address

16000 Southwest Fwy
Sugar Land, TX 77479

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Eric Buck, M.D.

  • Emergency Medicine Physician
  • Conroe, TX
  • NPI 1053383604
  NPD (past) Authorized official

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1124517347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811176",
            "telephone_number": "713-637-1146",
            "fax_number": "713-637-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792674",
            "telephone_number": "281-277-0911",
            "fax_number": "281-277-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH EMERUS TOMBALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-02",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-637-1004"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379968601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "67-0095",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hermann First Colony Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mexlife Surgical Assistant Service, LLC
• Kaley Meyer
• Rodolfo Meza, CSA
• MG Skyy Home Health Care
• MH Emerus First Colony LLC
• Michael Abdelsayed DO
• Michael Amaro MD PA
• Michael G. Krynski DPM PLLC
• Michael Kesner DDS, PA
• Michael L Friedberg OD PA

• General Acute Care Hospital in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.