Individual provider Active NPI

Hamilton Leonard Cessac III, N.P.

  • Nurse Practitioner
  • The Woodlands, TX
National Provider Identifier
1821143389
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
668237 Issued in TX
Practice address
1111 Medical Plaza Drive
Suite 170
The Woodlands, TX 77380
Phone
(281) 444-1303
Fax
(281) 444-5161
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9255221 FL
Nurse Practitioner 363L00000X 668237 TX Primary

Addresses

Primary practice location

1111 Medical Plaza Drive
Suite 170
The Woodlands, TX 77380

Mailing address

1111 Medical Plaza Drive
Suite 170
The Woodlands, TX 77380
Phone (281) 444-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130111000018 TX Practitioner - Nurse Practitioner 4688774888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Center for Infectious Diseases PAGroup PAC ID 5799763066, 9 clinicians

Practice addresses (Care Compare)

1111 Medical Plaza Dr
Suite 170
The Woodlands, TX 77380-3477
Phone (281) 444-1303

Hospital & facility affiliations

  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
  • St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862
  • HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9255221FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Center for Infectious Diseases PA CurrentSince Nov 1, 2012 Accepting new patients

Locations

1111 Medical Plaza Dr
Ste 170
The Woodlands, TX 77380
Phone (281) 444-1303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDABA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1821143389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-444-1303",
            "fax_number": "281-444-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 170",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-444-1303",
            "fax_number": "281-444-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESSAC",
        "first_name": "HAMILTON",
        "middle_name": "LEONARD",
        "name_suffix": "III",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9255221",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "668237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.