Organization Active NPI

Hatzalah of Houston

  • Land Ambulance
  • Houston, TX
National Provider Identifier
1457044752
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HATZALAH OF HOUSTON
Practice address
11000 Fondren Rd Ste B104
Houston, TX 77096-5525
Phone
(832) 743-0111
NPI assigned
Jun 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
David Fishman, PARAMEDIC
Title
President
Phone
(713) 501-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

11000 Fondren Rd Ste B104
Houston, TX 77096-5525

Mailing address

11000 Fondren Rd Ste B104
Houston, TX 77096-5525
Phone (832) 743-0111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823001834 TX Part B Supplier - Ambulance Service Supplier 5496118564 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11000 Fondren Rd
Ste B104
Houston, TX 77096
Phone (713) 501-7135

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1457044752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD STE B104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965525",
            "telephone_number": "832-743-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 FONDREN RD STE B104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770965525",
            "telephone_number": "832-743-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATZALAH OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-501-7135",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.