Memorial Medical Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEMORIAL MEDICAL CENTER

Practice address

3010 Bamore Rd
Rosenberg, TX 77471-5712

Phone

(281) 342-2142

NPI assigned

Jan 2, 2015

Organization subpart

No

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

Authorized official

Name

Jason Anglin

Title

Ceo

Phone

(361) 552-6713

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fort Bend Healthcare Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Owen Capocyan, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Sugar Land, TX
  • NPI 1063695328
  NPD (past)

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1730577503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 BAMORE RD",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774715712",
            "telephone_number": "281-342-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-552-6713"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "67-5663",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Bend Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medplus DME
• Jay Mehta, PHARM D
• Cassandra Mae Mejia, RBT
• Memorial Hermann Community Benefit Corporation
• Memorial Hermann Community Benefit Corporation
• Karla Yadira Menchaca, OT
• Merman Center LLC
• MGFG Surgical
• Ouida C. Middleton, O. D.
• Ray Vincent Midgett, DDS

• Skilled Nursing Facility in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.