Individual provider Active NPI

Jorge Eduardo Ramirez, LSA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1205127487
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3118 Bainbridge Hill LN
Houston, TX 77047-1166
Phone
(713) 306-8057
NPI assigned
Apr 22, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA00439 TX
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

3118 Bainbridge Hill LN
Houston, TX 77047-1166

Mailing address

3118 Bainbridge Hill LN
Houston, TX 77047-1166
Phone (713) 306-8057

Other practice location 1

4126 Southwest Fwy Ste 225
Houston, TX 77027-7434
Phone (832) 571-1260

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

State licenses

LicenseStateTypeSpecialty
SA00439TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Surgical Center Past Accepting new patients
Iatric LLC PastSince Jul 24, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205127487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 BAINBRIDGE HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471166",
            "telephone_number": "713-306-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 BAINBRIDGE HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471166",
            "telephone_number": "713-306-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4126 Southwest Fwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277434",
            "country_code": "US",
            "telephone_number": "832-571-1260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "JORGE",
        "middle_name": "EDUARDO",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00439",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "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 Jul 21, 2022; 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.