Organization Active NPI

Medwise, LTD

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
National Provider Identifier
1669475075
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
016679501MedicaidTX
4582106MedicaidTN
091542301MedicaidTX
1014670270001MedicaidPA
1554928MedicaidLA
518985MedicaidIA
2103557MedicaidOH
440595MedicaidMS
530690OtherTXBCBS
902730MedicaidWA
100337150BMedicaidKS
136931716MedicaidAZ
200512210AMedicaidIN
100245580BMedicaidOK
380004100MedicaidMD
900002031MedicaidKY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.