Organization Active NPI

Memorial City Surgical Associates

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1700913324
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MEMORIAL CITY SURGICAL ASSOCIATES
Practice address
1140 Business Center Dr
400
Houston, TX 77043-2737
Phone
(713) 464-1981
Fax
(713) 464-1131
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. Kevin D Wheeler, M.D., F.A.C.S.
Title
President
Phone
(713) 464-1981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1140 Business Center Dr
400
Houston, TX 77043-2737

Mailing address

1140 Business Center Dr
400
Houston, TX 77043-2737
Phone (713) 464-1981

Other identifiers 2

IdentifierTypeStateIssuer
00A43JOtherTXBCBS TX
08154801MedicaidTX

Other names 1

  • Memorial and Katy Surgical Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

920 Frostwood Dr
Ste 740
Houston, TX 77024
Phone (713) 464-1981

1140 Business Center Dr
Ste 400
Houston, TX 77043
Phone (713) 464-1981

Practitioners & affiliated clinicians

Practitioners 5

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1700913324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-464-1981",
            "fax_number": "713-464-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BUSINESS CENTER DR",
            "address_2": "400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432737",
            "telephone_number": "713-464-1981",
            "fax_number": "713-464-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL CITY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-464-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,  F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "00A43J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08154801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial and Katy Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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, 2010; 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.