KS SC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KS SC LLC

Practice address

22407 Holzwarth Road
Spring, TX 77389-1917

Phone

(346) 674-4000

NPI assigned

Nov 28, 2023

Organization subpart

Yes

Parent organization

KELSEY-SEYBOLD MEDICAL GROUP, PLLCAs reported in NPPES

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

Authorized official

Name

Julie Burch Garcia

Title

Sr Director, Revenue Cycle MGMT

Phone

(713) 442-5027

Specialties & licenses 1

Addresses

Other names 1

• Kelsey-Seybold ASC Springwoods Village Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1144977026

  7214351691

  Same PAC ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1699327734

  7214351691

  Same PAC ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Webster, TX
  • NPI 1700648037

  7214351691

  Same PAC ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Sugar Land, TX
  • NPI 1720840390

  7214351691

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

KS SC LLC5 organizations share this tax ID, including this one

Part of

Kelsey Seybold Med GRP PLLC

Other organizations with this tax ID 4

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

• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1144977026
  NPD tax ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1699327734
  NPD tax ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Webster, TX
  • NPI 1700648037
  NPD tax ID
• KS SC LLC

  • Ambulatory Surgical Clinic/Center
  • Sugar Land, TX
  • NPI 1720840390
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kelsey-Seybold Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1013915255
  NPPES parent name

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

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1124894423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SHADOW CREEK PKWY",
            "address_2": "CENTRAL BUSINESS OFFICE (ASC)",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847298",
            "telephone_number": "713-442-5669",
            "fax_number": "713-442-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22407 HOLZWARTH ROAD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891917",
            "telephone_number": "346-674-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KS SC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KELSEY-SEYBOLD MEDICAL GROUP, PLLC",
        "enumeration_date": "2023-11-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "BURCH",
        "authorized_official_title_or_position": "SR DIRECTOR, REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "713-442-5027"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelsey-Seybold ASC Springwoods Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Krueger
• Tara Elizabeth Krueger, OT
• Joseph Patrick Krupka Jr., D.C.
• Kathleen Krygier
• KS Pharm LLC
• Ju Kuang, M.D.
• Heather Kubiak
• Evelyn Kuhlman, SLP
• Novinyo Kumekpor
• Elisa Meredith Williams Kunkel, MD

• Ambulatory Surgical Clinic/Center in Spring, TX
• Providers in Spring, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.