NPIMap

Organization Active NPI

Medical Center Anesthesia Associates PA

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1265418222
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
MEDICAL CENTER ANESTHESIA ASSOCIATES PA
Practice address
2424 W Holcombe Blvd
Ste 205
Houston, TX 77030-1934
Phone
(713) 790-9412
Fax
(713) 790-9738
NPI assigned
Dec 21, 2005
Last updated
Jul 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Authorized official

Name
Jennifer L Todd
Title
Operations Manager
Phone
(713) 790-9412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

2424 W Holcombe Blvd
Ste 205
Houston, TX 77030-1934

Mailing address

2424 W Holcombe Blvd
Ste 205
Houston, TX 77030-1934
Phone (713) 790-9412

Other identifiers 1

IdentifierTypeStateIssuer
090154802MedicaidTX

National Provider Directory

National Provider Directory

Locations

15655 Cypress Wood Medical Dr
#300
Houston, TX 77014
Phone (713) 790-9412

2424 W Holcombe Blvd
Ste 205
Houston, TX 77030
Phone (713) 790-9412

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405036800000",
    "number": "1265418222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD",
            "address_2": "STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301934",
            "telephone_number": "713-790-9412",
            "fax_number": "713-790-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W HOLCOMBE BLVD",
            "address_2": "STE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301934",
            "telephone_number": "713-790-9412",
            "fax_number": "713-790-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER ANESTHESIA ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-07-11",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "713-790-9412"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090154802",
            "state": "TX"
        }
    ],
    "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 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.