Organization Active NPI

St. Anthonys Anesthesia PA

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1790008324
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ST. ANTHONYS ANESTHESIA PA
Practice address
2807 Little York Rd
Houston, TX 77093-3405
Phone
(713) 697-7777
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Authorized official

Name
Dr. Marc H. Boin, M.D.
Title
Authorized Official
Phone
(281) 348-0426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

2807 Little York Rd
Houston, TX 77093-3405

Mailing address

1075 Kingwood Dr
Suite 150
Kingwood, TX 77339-3010
Phone (281) 358-8114

Other identifiers 2

IdentifierTypeStateIssuer
0045TGOtherTXBCBS DOCTORS GROUP
00C65XOtherTXBCBS CRNAS GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1790008324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 KINGWOOD DR",
            "address_2": "SUITE 150",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393010",
            "telephone_number": "281-358-8114",
            "fax_number": "281-358-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770933405",
            "telephone_number": "713-697-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONYS ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "BOIN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "281-348-0426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DOCTORS GROUP",
            "identifier": "0045TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNAS GROUP",
            "identifier": "00C65X",
            "state": "TX"
        }
    ],
    "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 Aug 27, 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.