Northside Medical Group, Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

NORTHSIDE MEDICAL GROUP, INC

Practice address

5815 Airline Dr
Suite D
Houston, TX 77076-4922

Phone

(713) 691-7993

Fax

(888) 653-2561

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Chedric Cox

Title

Administrator

Phone

(713) 691-7993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1720482144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 AIRLINE DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764922",
            "telephone_number": "713-691-7993",
            "fax_number": "888-653-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 AIRLINE DR",
            "address_2": "SUITE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764922",
            "telephone_number": "713-691-7993",
            "fax_number": "888-653-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "CHEDRIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-691-7993"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northside Gastroenterology Associates PA
• Northside Health Center
• Northside Medical Clinic LLC
• Northside Pain Relief Center
• Northside Pathology Group PLLC
• Northside Pathology Group, PLLC
• Northside Pharmacy LLC
• Northside Pharmacy LLC

• Health Maintenance Organization in Houston, TX
• Providers in Houston, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.