South Shore Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH SHORE MEDICAL CENTER

Practice address

201 Enterprise Ave
Suite 900
League City, TX 77573-3082

Phone

(281) 334-2826

Fax

(281) 334-1949

NPI assigned

Aug 10, 2005

Last updated

Aug 22, 2020By 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

Jack Wayne Janoe, MDNPI 1922009018

Title

President/Owner

Phone

(281) 334-2826

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Jack W Janoe, MD

  • Family Medicine Physician
  • League City, TX
  • NPI 1922009018
  NPD (past) Authorized official
• Gauri Dayal, MD

  • Family Medicine Physician
  • League City, TX
  • NPI 1538160635
  NPD (past)
• Rebecca E Hart, M.D.

  • Family Medicine Physician
  • League City, TX
  • NPI 1205818861
  NPD (past)
• Kathleen Ko, MD

  • Family Medicine Physician
  • League City, TX
  • NPI 1649242330
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396746483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 900",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "281-334-2826",
            "fax_number": "281-334-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ENTERPRISE AVE",
            "address_2": "SUITE 900",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733082",
            "telephone_number": "281-334-2826",
            "fax_number": "281-334-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANOE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "281-334-2826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zyaad Hesham-Adel Soliman, DC
• South Houston Med Equip LLC
• South Shore Dialysis Center LP (South Shore Dialysis Center)
• South Shore ER LLC
• South Shore Eye Center LLC
• South Shore Surgicenter LLC
• Southwest Counseling Services, PC
• Space City Associates of Geriatrics, PA (Space City Geriatrics)
• Brandon Spain
• Mia Spann-Bentley

• Family Medicine Physician in League City, TX
• Providers in League City, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.