Fidem Hospitalist Partners PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

FIDEM HOSPITALIST PARTNERS PLLC

Practice address

20635 Kuykendahl Rd
Spring, TX 77379-3533

Phone

(281) 363-7170

NPI assigned

Dec 10, 2014

Last updated

Dec 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derrick Anthony Mitchell, M.D.

Title

Vice President

Phone

(936) 524-8049

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1215335088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LAURELHURST CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773821520",
            "telephone_number": "936-524-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 KUYKENDAHL RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793533",
            "telephone_number": "281-363-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDEM HOSPITALIST PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "936-524-8049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Spring, TX
• Providers in Spring, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.