Organization Active NPI

Foundation Surgery Affiliate of West Houston

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1437142932
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008105 Issued in TX
Legal business name
FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON
Practice address
15775 Park Ten PL
Houston, TX 77084-5153
Phone
(281) 647-2300
Fax
(281) 550-7815
NPI assigned
Aug 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Mrs. Chris Riedel, RN
Title
Administrator
Phone
(281) 647-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008105 TX Primary

Addresses

Primary practice location

15775 Park Ten PL
Houston, TX 77084-5153

Mailing address

15775 Park Ten PL
Houston, TX 77084-5153
Phone (281) 647-2300

Other identifiers 1

IdentifierTypeStateIssuer
085934001MedicaidTX

Other names 1

  • Foundation West Houston Surgical Center Other name

National Provider Directory

National Provider Directory

Locations

16100 Cairnway Dr
Ste 100
Houston, TX 77084
Phone (281) 550-5556

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1437142932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15775 PARK TEN PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845153",
            "telephone_number": "281-647-2300",
            "fax_number": "281-550-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15775 PARK TEN PL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845153",
            "telephone_number": "281-647-2300",
            "fax_number": "281-550-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-30",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-647-2300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085934001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundation West Houston Surgical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.