NPIMap

Organization Active NPI

Liberty Foot & Ankle Surgery Center, PA

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1215069042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LIBERTY FOOT & ANKLE SURGERY CENTER, PA
Practice address
4120 Southwest Fwy
200
Houston, TX 77027-7339
Phone
(713) 355-8600
Fax
(713) 355-8069
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jodie R Ellis
Title
Business Office Coordinator
Phone
(713) 355-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4120 Southwest Fwy
200
Houston, TX 77027-7339

Mailing address

PO Box 122188
Dept 2188
Dallas, TX 75312-0001
Phone (713) 355-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215069042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122188",
            "address_2": "DEPT 2188",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "713-355-8600",
            "fax_number": "713-355-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277339",
            "telephone_number": "713-355-8600",
            "fax_number": "713-355-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY FOOT & ANKLE SURGERY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "713-355-8600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory 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 Aug 22, 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.