Organization Active NPI

Ortho Houston

  • Pediatric Orthopaedic Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1609423409
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
ORTHO HOUSTON
Practice address
15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880
Phone
(713) 714-1256
Fax
(727) 781-3312
NPI assigned
Aug 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Terrence Damon Anderson, MDNPI 1861539454
Title
President
Phone
(713) 628-4467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207XP3100X Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880

Mailing address

15200 Southwest Fwy Ste 350
Sugar Land, TX 77478-3880
Phone (713) 714-1256

Other practice location 1

462 S Mason Rd Ste 100
Katy, TX 77450-2454
Phone (713) 714-1256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190920001037 TX Part B Supplier - Clinic/Group Practice 9537499322 Receives reassigned benefits from 3 practitioners
Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

14861 Southwest Fwy
#C302
Sugar Land, TX 77478
Phone (713) 714-1256

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1609423409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783880",
            "telephone_number": "713-714-1256",
            "fax_number": "727-781-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 350",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783880",
            "telephone_number": "713-714-1256",
            "fax_number": "727-781-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "462 S Mason Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774502454",
            "country_code": "US",
            "telephone_number": "713-714-1256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHO HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "DAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-628-4467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.