Organization Active NPI

St. Luke'S Hospital Specialty Physician Group, PLLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1578884292
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST. LUKE'S HOSPITAL SPECIALTY PHYSICIAN GROUP, PLLC
Practice address
6624 Fannin St
Suite 1100
Houston, TX 77030-2312
Phone
(832) 355-7282
NPI assigned
Jun 16, 2010
Organization subpart
Yes
Parent organization
GREATER HOUSTON HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

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

Authorized official

Name
Angela A Shippy, M.D.
Title
President
Phone
(832) 355-4614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

6624 Fannin St
Suite 1100
Houston, TX 77030-2312

Mailing address

6624 Fannin St
Suite 1100
Houston, TX 77030-2312
Phone (832) 355-7282

National Provider Directory

National Provider Directory
Part of
Baylor St Lukes Medical Group

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1578884292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "832-355-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST",
            "address_2": "SUITE 1100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302312",
            "telephone_number": "832-355-7282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL SPECIALTY PHYSICIAN GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREATER HOUSTON HEALTH NETWORK",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "SHIPPY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-355-4614",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "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 16, 2010; 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.