Active NPI
MD January PLLC
- Primary Care Clinic/Center
- Houston, TX
National Provider Identifier
1760189013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MD JANUARY PLLC
- Practice address
- 9894 Bissonnet St Ste 470
Houston, TX 77036-8282 - Phone
- (833) 635-2623
- NPI assigned
- Feb 7, 2023
- 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
- Dr. Eboni January, MD
- Title
- Ceo
- Phone
- (573) 268-4830
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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Federal Public Health Clinic/Center | 261QP0904X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Radiology Clinic/Center | 261QR0200X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Research Clinic/Center | 261QR1100X | |||
| VA Clinic/Center | 261QV0200X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
9894 Bissonnet St Ste 470
Houston, TX 77036-8282
Mailing address
10918 Brambling Wood Dr
Houston, TX 77043-2320
Phone (573) 268-4830
National Provider Directory
National Provider DirectoryLocations
9894 Bissonnet St
Ste 470
Houston, TX 77036
Phone (833) 635-2623
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Potsdam, NY
- NPI 1851602593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675814400000",
"number": "1760189013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10918 BRAMBLING WOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770432320",
"telephone_number": "573-268-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9894 BISSONNET ST STE 470",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368282",
"telephone_number": "833-635-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MD JANUARY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A",
"authorized_official_last_name": "JANUARY",
"authorized_official_first_name": "EBONI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "573-268-4830",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.