Organization Active NPI

Jordan Asha, PLLC

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1346454410
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G7248 Issued in TX
Legal business name
JORDAN ASHA, PLLC
Practice address
11595 S Wilcrest Dr
Houston, TX 77099-4752
Phone
(832) 328-3077
Fax
(832) 328-3081
NPI assigned
May 9, 2007
Last updated
Nov 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Mr. Robert Ortiz
Title
Office Manager
Phone
(832) 328-3077

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G7248 TX
Adolescent Medicine (Family Medicine) Physician 207QA0000X G7248 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X G7248 TX
Internal Medicine Physician 207R00000X G7248 TX Primary

Addresses

Primary practice location

11595 S Wilcrest Dr
Houston, TX 77099-4752

Mailing address

11595 S Wilcrest Dr
Houston, TX 77099-4752
Phone (832) 328-3077

Other identifiers 2

IdentifierTypeStateIssuer
163100401MedicaidTX
163100402MedicaidTX

National Provider Directory

National Provider Directory

Locations

109 S 75th St
Houston, TX 77011
Phone (713) 921-2440

11595 S Wilcrest Dr
Houston, TX 77099
Phone (713) 495-8710

Practitioners & affiliated clinicians

Practitioners 2

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1346454410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11595 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "832-328-3077",
            "fax_number": "832-328-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11595 S WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994752",
            "telephone_number": "832-328-3077",
            "fax_number": "832-328-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN ASHA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-328-3077",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7248",
            "primary": false
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "G7248",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G7248",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G7248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163100401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163100402",
            "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 Nov 22, 2010; 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.