Organization Active NPI

Mactiva Anesthesia Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Katy, TX
National Provider Identifier
1669837209
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M8126 Issued in TX
Legal business name
MACTIVA ANESTHESIA ASSOCIATES PLLC
Practice address
1334 Pin Oak Rd
Katy, TX 77494-6849
Phone
(281) 727-0076
Fax
(281) 727-0420
NPI assigned
Dec 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Dr. Scott H Lin, M.D.
Title
Owner/Physician
Phone
(281) 727-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X M8126 TX Primary

Addresses

Primary practice location

1334 Pin Oak Rd
Katy, TX 77494-6849

Mailing address

1334 Pin Oak Rd
Katy, TX 77494-6849
Phone (281) 727-0076

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1669837209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 PIN OAK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946849",
            "telephone_number": "281-727-0076",
            "fax_number": "281-727-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 PIN OAK RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946849",
            "telephone_number": "281-727-0076",
            "fax_number": "281-727-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACTIVA ANESTHESIA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "281-727-0076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "M8126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.