Organization Active NPI

Kimberly Henderson M.D. P.a.

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
National Provider Identifier
1225082936
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
KIMBERLY HENDERSON M.D. P.A.
Practice address
1315 St Joseph Pkwy
Suite 1003
Houston, TX 77002-8233
Phone
(713) 659-2666
Fax
(713) 659-8930
NPI assigned
May 19, 2006
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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

Authorized official

Name
Kimberly Henderson Gossett, M.D.
Title
President
Phone
(713) 659-2666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1315 St Joseph Pkwy
Suite 1003
Houston, TX 77002-8233

Mailing address

1315 St Joseph Pkwy
Suite 1003
Houston, TX 77002-8233
Phone (713) 659-2666

National Provider Directory

National Provider Directory

Locations

1515 N Alexander Dr
Ste 115
Baytown, TX 77520
Phone (281) 422-3619

2000 Crawford St
Ste 1325
Houston, TX 77002
Phone (713) 659-2666

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1225082936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1003",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-659-2666",
            "fax_number": "713-659-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 ST JOSEPH PKWY",
            "address_2": "SUITE 1003",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028233",
            "telephone_number": "713-659-2666",
            "fax_number": "713-659-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY HENDERSON M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON GOSSETT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-659-2666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "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 Nov 7, 2011; 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.