Organization Active NPI

The South County Anesthesia Association, PA

  • Specialist
  • The Woodlands, TX
National Provider Identifier
1467465369
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G5017 Issued in TX
Legal business name
THE SOUTH COUNTY ANESTHESIA ASSOCIATION, PA
Practice address
3115 College Park Dr
Unit 103C
The Woodlands, TX 77384-4000
Phone
(281) 580-9030
Fax
(281) 580-2725
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Sam Fulton
Title
Billing Manager
Phone
(979) 776-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G5017 TX Primary

Addresses

Primary practice location

3115 College Park Dr
Unit 103C
The Woodlands, TX 77384-4000

Mailing address

PO Box 200649
Houston, TX 77216-0649
Phone (281) 580-9030

Other names 1

  • The Woodlands Anesthesia Association Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1467465369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200649",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772160649",
            "telephone_number": "281-580-9030",
            "fax_number": "281-580-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "UNIT 103C",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "281-580-9030",
            "fax_number": "281-580-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUTH COUNTY ANESTHESIA ASSOCIATION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "979-776-7300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Woodlands Anesthesia Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.