NPIMap

Organization Active NPI

Momentum Anesthesia Group PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1639685407
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MOMENTUM ANESTHESIA GROUP PLLC
Practice address
1233 Campbell Rd Ste 200
Houston, TX 77055-6453
Phone
(713) 467-2700
Fax
(713) 467-2700
NPI assigned
Dec 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Spencer C Li, MD
Title
Manager
Phone
(713) 906-4769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1233 Campbell Rd Ste 200
Houston, TX 77055-6453

Mailing address

1438 Campbell Rd Ste 111
Houston, TX 77055-4647
Phone (832) 681-7331

Other practice location 1

21338 Provincial Blvd
Katy, TX 77450-7580
Phone (281) 829-1700

Other names 1

  • Momentum Anesthesia Group PLLC Former legal business name

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1233 Campbell Rd
Ste 200
Houston, TX 77055
Phone (713) 467-2700

1438 Campbell Rd
Ste 111
Houston, TX 77055
Phone (832) 681-7331

Practitioners & affiliated clinicians

Practitioners 2

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": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1639685407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 CAMPBELL RD STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554647",
            "telephone_number": "832-681-7331",
            "fax_number": "832-371-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 CAMPBELL RD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556453",
            "telephone_number": "713-467-2700",
            "fax_number": "713-467-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21338 Provincial Blvd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774507580",
            "country_code": "US",
            "telephone_number": "281-829-1700",
            "fax_number": "281-829-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOMENTUM ANESTHESIA GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-906-4769",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Anesthesia Group PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Momentum Anesthesia Group PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 17, 2018; 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.