Kimberlea Ward Staton, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

L5574 Issued in TX

Practice address

11325 Fallbrook Dr
Houston, TX 77065-4232

Phone

(281) 890-7773

Fax

(281) 890-7798

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gulf Anesthesia Associates PA

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1154359107
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1396798799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654232",
            "telephone_number": "281-890-7773",
            "fax_number": "281-890-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654232",
            "telephone_number": "281-890-7773",
            "fax_number": "281-890-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "KIMBERLEA",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "L5574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8F4305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendrele Staten, DPT
• Lexie Kae Staten, MS, RD
• Statera Physical Therapy and Rehabilitation Clinic, PLLC
• States Health Inc.
• Stateserv Medical of Houston, LLC
• Lori Staton
• Statscript
• Blake Nolan Staub, M.D.
• Douglas Martin Stauch, M.D.
• Michael C Stauder, MD

• Orthopaedic Hand Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Orthopaedic Hand Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.