Organization Active NPI

Nova Healthcare Ga, LLC

Doing business as Nova Medical Center

  • Occupational Medicine Physician
  • Houston, TX
National Provider Identifier
1881019917
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
14010493 Issued in GA
Legal business name
NOVA HEALTHCARE GA, LLC
Doing business as
Nova Medical Center
Practice address
6213 Skyline Dr
Houston, TX 77057-7036
Phone
(713) 880-4400
NPI assigned
Feb 26, 2014
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Mr. Mark Neer
Title
Vice President
Phone
(713) 880-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 14010493 GA Primary

Addresses

Primary practice location

6213 Skyline Dr
Houston, TX 77057-7036

Mailing address

6213 Skyline Dr
Houston, TX 77057-7036
Phone (713) 880-4400

Other names 1

  • Nova Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nova Healthcare Ga LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1881019917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 SKYLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577036",
            "telephone_number": "713-880-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 SKYLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770577036",
            "telephone_number": "713-880-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA HEALTHCARE GA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "NEER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-880-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "14010493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 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.