Keystone Outpatient Services, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

8543 Issued in TX

Legal business name

KEYSTONE OUTPATIENT SERVICES, LLC

Practice address

3115 College Park Dr
Suite101
The Woodlands, TX 77384-4000

Phone

(936) 321-4345

Fax

(936) 321-4353

NPI assigned

Sep 18, 2007

Last updated

Sep 18, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Oswald Shannon, MDNPI 1689781841

Title

General Manager

Phone

(936) 321-4345

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Thomas Oswald Shannon, MD

  • Plastic and Reconstructive Surgery Physician
  • The Woodlands, TX
  • NPI 1689781841
  Authorized official Same address or phone

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1386830800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-321-4345",
            "fax_number": "936-321-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE101",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-321-4345",
            "fax_number": "936-321-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "OSWALD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "936-321-4345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "8543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Kerschenbaum, MD
• Kevin M Moran MD PA
• Tana G. Key, O.T.
• Keyes to Health PLLC
• Kevin John Keyes, DC
• Keystone Plastic Reconstructive Surgery,LLC
• Keystone Surgicenter LLC
• Tara Khadem, LPC, CGP
• Ajmal Aaqib Khalid, DMD
• Salwa T Khalil, RPH

• Ambulatory Surgical Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.