Northshore Medical Association PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H4392 Issued in TX

Legal business name

NORTHSHORE MEDICAL ASSOCIATION PLLC

Doing business as

Northshore Medical Associates

Practice address

1140 Westmont Dr
Suite 202
Houston, TX 77015-4363

Phone

(281) 457-2236

Fax

(281) 457-0500

NPI assigned

Mar 24, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Donald R Hearn, MD

Title

Manager

Phone

(281) 457-2236

Specialties & licenses 1

Addresses

Other names 1

• Northshore Medical Associates Doing business as

Locations

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466035200000",
    "number": "1760781157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "281-457-2236",
            "fax_number": "281-457-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "281-457-2236",
            "fax_number": "281-457-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE MEDICAL ASSOCIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2016-06-16",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-457-2236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northline Tso PC (Northline Texas State Optical)
• Blake Northrop, MD
• Hope Northrup, M.D.
• Northshore Counseling Center Inc
• Northshore Dental
• Northshore Occupational Medical Clinic
• Northshore Orthopedics Assoc
• Northshore Pediatric Dental, PLLC
• Northshore Treatment Center
• Northshore Tso, Inc.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.