Organization Active NPI

David Fairweather, M.D., P.a.

  • Surgery Physician
  • Webster, TX
National Provider Identifier
1174562060
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DAVID FAIRWEATHER, M.D., P.A.
Practice address
13920 Osprey CT Ste C
Webster, TX 77598-1615
Phone
(832) 831-9877
Fax
(832) 240-4098
NPI assigned
Jun 6, 2006
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Authorized official

Name
David A Fairweather, MDNPI 1306985866
Title
Director
Phone
(832) 831-9877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

13920 Osprey CT Ste C
Webster, TX 77598-1615

Mailing address

1140 Westmont Dr
Suite 520
Houston, TX 77015-4363
Phone (713) 453-8711

Other identifiers 1

IdentifierTypeStateIssuer
160563602MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Webster

National Provider Directory

National Provider Directory

Locations

13111 East Fwy
#309
Houston, TX 77015
Phone (713) 453-8711

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1174562060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 520",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-453-8711",
            "fax_number": "713-453-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 OSPREY CT STE C",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981615",
            "telephone_number": "832-831-9877",
            "fax_number": "832-240-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FAIRWEATHER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "FAIRWEATHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-831-9877",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160563602",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webster",
            "affiliation": "N",
            "address_1": "13920 Osprey Ct Ste C",
            "city": "Webster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775981615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.