Active NPI
Laurens Russell Pickard, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Houston, TX
National Provider Identifier
1902980410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- D7249
- Practice address
- 6560 Fannin St
Suite 1846
Houston, TX 77030-2761 - Phone
- (713) 797-1211
- Fax
- (713) 795-9805
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D7249 | TX | |
| Pediatric Surgery Physician | 2086S0120X | D7249 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | D7249 | TX | Primary |
Addresses
Primary practice location
6560 Fannin St
Suite 1846
Houston, TX 77030-2761
Mailing address
PO Box 128
Bellaire, TX 77402-0128
Phone (281) 833-3330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130331505 | Medicaid | TX |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Pediatric Surgery | Current | Accepting new patients |
| Karl E Tomm M D & Associates | Surgery | Past | Accepting new patients |
Locations
815 Market St
Galveston, TX 77550
Phone (409) 770-6600
Organizations & group practices 3
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.
-
- Pediatric Surgery Physician
- Galveston, TX
- NPI 1851631709
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Surgery Physician
- Houston, TX
- NPI 1841470945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1902980410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774020128",
"telephone_number": "281-833-3330",
"fax_number": "281-833-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "SUITE 1846",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302761",
"telephone_number": "713-797-1211",
"fax_number": "713-795-9805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKARD",
"first_name": "LAURENS",
"middle_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "D7249",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "D7249",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "D7249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130331505",
"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 Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.