Organization Active NPI

Orsak Medical Association

  • Family Medicine Physician
  • Friendswood, TX
National Provider Identifier
1407079585
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J7827 Issued in TX
Legal business name
ORSAK MEDICAL ASSOCIATION
Practice address
300 E Edgewood Dr
Friendswood, TX 77546-3823
Phone
(281) 485-9034
Fax
(281) 485-9807
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Authorized official

Name
Dr. Glenn Thomas Orsak, MDNPI 1174528822
Title
Owner
Phone
(281) 485-9034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J7827 TX Primary

Addresses

Primary practice location

300 E Edgewood Dr
Friendswood, TX 77546-3823

Mailing address

300 E Edgewood Dr
Friendswood, TX 77546-3823
Phone (281) 485-9034

Other names 1

  • Friendswood Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826001276 TX Part B Supplier - Clinic/Group Practice 9537134242 Receives reassigned benefits from 6 practitioners
Practice locations: Friendswood, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0957972Friendswood Family Medicine300 E Edgewood, Friendswood, TX 77546Provider-performed microscopyMar 7, 2027

National Provider Directory

National Provider Directory

Locations

300 E Edgewood Dr
Friendswood, TX 77546
Phone (281) 485-9034

3233 Broadway St
Pearland, TX 77581
Phone (281) 485-9034

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1407079585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E EDGEWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463823",
            "telephone_number": "281-485-9034",
            "fax_number": "281-485-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E EDGEWOOD DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463823",
            "telephone_number": "281-485-9034",
            "fax_number": "281-485-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORSAK MEDICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ORSAK",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-485-9034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendswood Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Friendswood Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.