Active NPI
Memorial Village Emergency Room
- Emergency Medicine Physician
- Houston, TX
National Provider Identifier
1376064295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MEMORIAL VILLAGE EMERGENCY ROOM
- Practice address
- 14520 Memorial Dr Ste 4
Houston, TX 77079-5415 - Phone
- (281) 496-6837
- NPI assigned
- Jun 30, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Mesvero, RN BSN
- Title
- Facility Administrator
- Phone
- (281) 501-2841
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
14520 Memorial Dr Ste 4
Houston, TX 77079-5415
Mailing address
14520 Memorial Dr Ste 4
Houston, TX 77079-5415
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2128748 | Memorial Village Emergency Room | Accreditation | May 23, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1487186649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1498780800000",
"number": "1376064295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14520 MEMORIAL DR STE 4",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 MEMORIAL DR STE 4",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770795415",
"telephone_number": "281-496-6837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL VILLAGE EMERGENCY ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A",
"authorized_official_last_name": "MESVERO",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
"authorized_official_telephone_number": "281-501-2841",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN BSN"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Memorial Surgical Solutions
- Memorial Therapeutic Products Inc (Memorial Theapeutic Products Inc)
- Memorial Urology Associates, P.a.
- Memorial Vein Center
- Memorial Village Emergency Physicians
- Memorial Village Sleep Center, Inc
- Memorial Village Specialty Physicians PLLC
- Memorial Village Surgery Center
- Memorial Vision, P.a.
- Memorial Wellness Center PA (Memorial Health and Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.