Memorial Hermann Endoscopy & Surgery Center North Houston, LLC

Key facts

NPI

1376790691

Entity type

Organization (NPI type 2)

Primary specialty

Ambulatory Surgical Clinic/Center 261QA1903X

License

008709 (TX)

Legal business name

MEMORIAL HERMANN ENDOSCOPY & SURGERY CENTER NORTH HOUSTON, LLC

Practice address

275 Lantern Bend Dr
Suite 400
Houston, TX 77090-2840

Phone

(281) 440-5797

Fax

(281) 586-8616

NPI assigned

Aug 19, 2008

Organization subpart

No

Authorized official

Name

Nicholas Crafts

Title

Officer / Authorized Official

Phone

(203) 609-1168

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center General Acute Care Hospital · Dallas, TX · NPI 1447250253
  NPD member Member Of
• Digestive & Liver Disease Consultants, P.a. Gastroenterology Physician · Houston, TX · NPI 1164469631
  NPD member Member Of
• Memorial Hermann Health System Radiology Clinic/Center · The Woodlands, TX · NPI 1275564858
  NPD member Member Of
• VHS San Antonio Partners LLC Psychiatric Hospital Unit · San Antonio, TX · NPI 1487633509
  NPD member Member Of

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Vincent Wright, M.D. Anesthesiology Physician · Houston, TX · NPI 1780803197
  NPD (past)

Medicare Care Compare: Ambulatory surgical center

Listed as

Memorial Hermann Endoscopy and Surgery Center North Houston LLC Dba North Houston Endoscopy and Surgery CCN 45C0001298

Medicare certification status

Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• North Houston Endoscopy & Surgery Center Doing business as

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 5, 2024.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1376790691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 LANTERN BEND DR STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902841",
            "telephone_number": "281-440-5797",
            "fax_number": "281-586-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 LANTERN BEND DR",
            "address_2": "SUITE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902840",
            "telephone_number": "281-440-5797",
            "fax_number": "281-586-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN ENDOSCOPY & SURGERY CENTER NORTH HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAFTS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OFFICER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "North Houston Endoscopy & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Houston, TX · Ambulatory Surgical Clinic/Center in Texas