Individual provider Active NPI

Yordan Morales Hechavarria, LSA

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1871822866
Registry record updated Feb 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00348 Issued in TX
Practice address
11006 Warath Oak CT
Houston, TX 77065-5490
Phone
(832) 461-9413
Fax
(281) 890-8938
NPI assigned
Dec 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 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 SA00348 TX Primary

Addresses

Primary practice location

11006 Warath Oak CT
Houston, TX 77065-5490

Mailing address

PO Box 38450
Houston, TX 77238-8450
Phone (832) 461-9413

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

State licenses

LicenseStateTypeSpecialty
SA00348TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Superior First Assistants LLC Surgical Past Accepting new patients
Yordan Surgical Assistant Service PLLC Surgical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1871822866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38450",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772388450",
            "telephone_number": "832-461-9413",
            "fax_number": "281-890-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 WARATH OAK CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655490",
            "telephone_number": "832-461-9413",
            "fax_number": "281-890-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES HECHAVARRIA",
        "first_name": "YORDAN",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-22",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00348",
            "primary": true
        }
    ],
    "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 6, 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.