Organization Active NPI

Baylor College of Medicine, Department of Orthopedic Surgery

  • Orthopaedic Surgery Physician
  • Pearland, TX
National Provider Identifier
1609079599
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Practice address
2950 Cullen Blvd
Suite 101
Pearland, TX 77584-3921
Phone
(281) 485-4770
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael H. Heggeness, M.D.
Title
Chairman
Phone
(713) 986-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X TX Primary

Addresses

Primary practice location

2950 Cullen Blvd
Suite 101
Pearland, TX 77584-3921

Mailing address

6620 Main St
Suite 1325
Houston, TX 77030-2348
Phone (713) 986-6000

Other identifiers 1

IdentifierTypeStateIssuer
177573601MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Baylor College of Medicine Department of Orthopedic Surgery8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609079599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 MAIN ST",
            "address_2": "SUITE 1325",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302348",
            "telephone_number": "713-986-6000",
            "fax_number": "713-986-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 CULLEN BLVD",
            "address_2": "SUITE 101",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843921",
            "telephone_number": "281-485-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEGGENESS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "713-986-5730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177573601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.