Active NPI
Matthew St. Laurent MD., PA.
- Surgery Physician
- Houston, TX
National Provider Identifier
1679765853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- J4536
- Legal business name
- MATTHEW ST. LAURENT MD., PA.
- Practice address
- 18220 Tomball Pkwy
Suite 300
Houston, TX 77070-4347 - Phone
- (281) 921-1890
- Fax
- (281) 921-1897
- NPI assigned
- Aug 13, 2007
- 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
- Mr. Matthew J St. Laurent, MD
- Title
- President
- Phone
- (281) 921-1890
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | J4536 | TX | Primary |
Addresses
Primary practice location
18220 Tomball Pkwy
Suite 300
Houston, TX 77070-4347
Mailing address
18220 Tomball Pkwy
Suite 300
Houston, TX 77070-4347
Phone (281) 921-1890
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166571301 | Medicaid | TX | |
| 8S2410 | Other | TX | BCBSTX PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10425 Huffmeister Rd
Ste 230
Houston, TX 77065
Phone (281) 921-1890
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Houston, TX
- NPI 1700858909
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1528313459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1501459200000",
"number": "1679765853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 TOMBALL PKWY",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704347",
"telephone_number": "281-921-1890",
"fax_number": "281-921-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 TOMBALL PKWY",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704347",
"telephone_number": "281-921-1890",
"fax_number": "281-921-1897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATTHEW ST. LAURENT MD., PA.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-13",
"last_updated": "2017-07-31",
"status": "A",
"authorized_official_last_name": "ST. LAURENT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-921-1890",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "TX",
"license": "J4536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166571301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX PIN",
"identifier": "8S2410",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Madelyn Frances Mattfeld, LAT, ATC
- Matthew Brams, MD Alice Mao, MD
- Matthew Brian McAuliffe, MD, PLLC
- Matthew Higgs MD PLLC
- Matthew L Nance, PH.D.
- Matthew Thompson, MD, PA
- Matthew W Plummer Jr DMD MPH Daphne L Brooks Reed DMD Inc
- Matthew'S Hope Foundation, Inc
- Matthews Transportation, LLC
- Matthews Transportation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.