South Shore ER LLC

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

Legal business name

SOUTH SHORE ER LLC

Practice address

3016 Marina Bay Dr
League City, TX 77573-2768

Phone

(409) 502-7194

NPI assigned

Sep 17, 2021

Organization subpart

No

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

Authorized official

Name

Suchmor Thomas, MDNPI 1720292550

Title

Owner

Phone

(409) 502-7194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 670318

Legal name

SOUTH SHORE ER LLC

Certification status

Terminated Voluntary: merger or closure, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

Dec 1, 2021

Last certification

Dec 1, 2021

Beds

1

Ownership / control type

Private (not for profit)

Facility address

3016 Marina Bay Drive
League City, TX 77573

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suchmor Thomas, M.D.

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1720292550
  NPD Authorized official

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1912677295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 MARINA BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732768",
            "telephone_number": "409-502-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 MARINA BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732768",
            "telephone_number": "409-502-7194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE ER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SUCHMOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-502-7194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daneshvari R Solanki, FFARCS
• Ahmed H Soliman, DC
• Zyaad Hesham-Adel Soliman, DC
• South Houston Med Equip LLC
• South Shore Dialysis Center LP (South Shore Dialysis Center)
• South Shore Eye Center LLC
• South Shore Medical Center
• South Shore Surgicenter LLC
• Southwest Counseling Services, PC
• Space City Associates of Geriatrics, PA (Space City Geriatrics)

• Emergency Care Clinic/Center in League City, TX
• Providers in League City, TX by specialty
• Emergency Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.