Active NPI
Katherine Buckner Moore, PA-C
- Surgical Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA13213
- Practice address
- 7401 Main St
Houston, TX 77030-4509 - Phone
- (713) 794-3599
- Fax
- (713) 794-3378
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA13213 | TX | Primary |
Addresses
Primary practice location
7401 Main St
Houston, TX 77030-4509
Mailing address
7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300
Other names 1
- Katherine Suzanne Buckner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2635 W Baker Rd
Baytown, TX 77521-2206
Phone (281) 337-8550
7401 Main St
Houston, TX 77030-4509
Phone (713) 799-2300
7718 Garth Rd
Baytown, TX 77521-2206
Phone (713) 347-9031
Hospital & facility affiliations
- Texas Orthopedic Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA13213 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortholonestar, PLLC | Current | Accepting new patients | |
| Fondren Orthopedic Group L.L.P. | Current | Accepting new patients | |
| Ortholonestar, PLLC | Current | Accepting new patients |
Locations
4700 Seton Center Pkwy
Ste 115
Austin, TX 78759
Phone (346) 440-0644
2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550
3800 Gaylord Pkwy
Ste 710
Frisco, TX 75034
7401 Main St
Houston, TX 77030
Phone (713) 799-8600
Interoperability endpoints
- katherine.moore.3@15533.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1942860176
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1609830595
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1285043679
-
- Orthopaedic Surgery Physician
- Tomball, TX
- NPI 1073475679
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1134166192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1265077697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304509",
"telephone_number": "713-794-3599",
"fax_number": "713-794-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "KATHERINE",
"middle_name": "BUCKNER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA13213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "BUCKNER",
"middle_name": "SUZANNE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.