Organization Active NPI

Mary Ann Washington M.D.,P.a

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1346612918
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J0721 Issued in TX
Legal business name
MARY ANN WASHINGTON M.D.,P.A
Practice address
1140 Westmont Dr
Suite 320
Houston, TX 77015-4363
Phone
(713) 637-6320
Fax
(713) 637-0590
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Mrs. Camille Guillen
Title
Clinical Supervisor
Phone
(713) 637-6320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X J0721 TX Primary

Addresses

Primary practice location

1140 Westmont Dr
Suite 320
Houston, TX 77015-4363

Mailing address

5116 Bissonnet St
Suite 459
Bellaire, TX 77401-4007
Phone (713) 637-6320

Other identifiers 1

IdentifierTypeStateIssuer
124363602MedicaidTX

National Provider Directory

National Provider Directory

Locations

5233 Bellaire Blvd
Ste B459
Bellaire, TX 77401

5116 Bissonnet St
Ste 459
Bellaire, TX 77401

2525 North Loop W
Ste 600
Houston, TX 77008
Phone (713) 637-6320

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1346612918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BISSONNET ST",
            "address_2": "SUITE 459",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014007",
            "telephone_number": "713-637-6320",
            "fax_number": "713-637-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 320",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-637-6320",
            "fax_number": "713-637-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN WASHINGTON M.D.,P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "713-637-6320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124363602",
            "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 Jun 28, 2016; 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.