Individual provider Active NPI

Percy Velasquez, MD, LSA

  • Surgical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1861604498
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
118 Shadow Wood Dr
Sugar Land, TX 77498-2665
Phone
(713) 824-7022
Fax
(281) 494-1315
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

118 Shadow Wood Dr
Sugar Land, TX 77498-2665

Mailing address

118 Shadow Wood Dr
Sugar Land, TX 77498-2665
Phone (281) 494-1315

Other names 1

  • Percy Velasquez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1861604498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHADOW WOOD DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982665",
            "telephone_number": "281-494-1315",
            "fax_number": "281-494-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SHADOW WOOD DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774982665",
            "telephone_number": "713-824-7022",
            "fax_number": "281-494-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "PERCY",
        "name_prefix": "Dr.",
        "credential": "MD, LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERCY",
            "last_name": "VELASQUEZ",
            "credential": "MD,  LSA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.