Active NPI
Medwise, LTD
- Durable Medical Equipment & Medical Supplies
- Houston, TX
National Provider Identifier
1669475075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDWISE, LTD
- Practice address
- 350 N Sam Houston Pkwy E
Ste 271
Houston, TX 77060-3333 - Phone
- (713) 934-4500
- Fax
- (800) 215-4840
- NPI assigned
- May 31, 2005
- Last updated
- Sep 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sonya B Leblanc
- Title
- Billing Administrator
- Phone
- (713) 934-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
350 N Sam Houston Pkwy E
Ste 271
Houston, TX 77060-3333
Mailing address
350 N Sam Houston Pkwy E
Ste 271
Houston, TX 77060-3333
Phone (713) 934-4500
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016679501 | Medicaid | TX | |
| 4582106 | Medicaid | TN | |
| 091542301 | Medicaid | TX | |
| 1014670270001 | Medicaid | PA | |
| 1554928 | Medicaid | LA | |
| 518985 | Medicaid | IA | |
| 2103557 | Medicaid | OH | |
| 440595 | Medicaid | MS | |
| 530690 | Other | TX | BCBS |
| 902730 | Medicaid | WA | |
| 100337150B | Medicaid | KS | |
| 136931716 | Medicaid | AZ | |
| 200512210A | Medicaid | IN | |
| 100245580B | Medicaid | OK | |
| 380004100 | Medicaid | MD | |
| 900002031 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
350 N Sam Houston Pkwy E
Ste 230
Houston, TX 77060
Phone (713) 934-4500
4500 Blalock Rd
Houston, TX 77041
Phone (281) 395-9401
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Houston, TX
- NPI 1275601510
-
- Registered Dietitian
- Houston, TX
- NPI 1619414877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693526400000",
"number": "1669475075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 N SAM HOUSTON PKWY E",
"address_2": "STE 271",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603333",
"telephone_number": "713-934-4500",
"fax_number": "800-215-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N SAM HOUSTON PKWY E",
"address_2": "STE 271",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770603333",
"telephone_number": "713-934-4500",
"fax_number": "800-215-4840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDWISE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-31",
"last_updated": "2023-09-01",
"status": "A",
"authorized_official_last_name": "LEBLANC",
"authorized_official_first_name": "SONYA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BILLING ADMINISTRATOR",
"authorized_official_telephone_number": "713-934-4500",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016679501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4582106",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091542301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014670270001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1554928",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "518985",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2103557",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "440595",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "530690",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "902730",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100337150B",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136931716",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200512210A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100245580B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380004100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "900002031",
"state": "KY"
}
],
"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 Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.