Organization Active NPI

Pearland ENT PA

  • Otolaryngology Physician
  • Pearland, TX
National Provider Identifier
1174708564
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
PEARLAND ENT PA
Practice address
2225 County Road 90 Ste 123
Pearland, TX 77584-4891
Phone
(281) 412-6100
Fax
(281) 412-2423
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Dr. Omid Abbassi, MD-PHD
Title
Authorized Official
Phone
(281) 412-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2225 County Road 90 Ste 123
Pearland, TX 77584-4891

Mailing address

2225 County Road 90
Suite 123
Pearland, TX 77584-4890
Phone (281) 412-6100

Other identifiers 1

IdentifierTypeStateIssuer
161137801MedicaidTX

National Provider Directory

National Provider Directory

Locations

2225 County Road 90
Pearland, TX 77584
Phone (281) 221-3914

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1174708564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90",
            "address_2": "SUITE 123",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844890",
            "telephone_number": "281-412-6100",
            "fax_number": "281-412-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90 STE 123",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844891",
            "telephone_number": "281-412-6100",
            "fax_number": "281-412-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND ENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "ABBASSI",
        "authorized_official_first_name": "OMID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-412-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD-PHD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161137801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.