Organization Active NPI

Northstar Procedure Suites of Houston,LLC

  • Interventional Pain Medicine Physician
  • Houston, TX
National Provider Identifier
1932492469
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
J5807 Issued in TX
Legal business name
NORTHSTAR PROCEDURE SUITES OF HOUSTON,LLC
Practice address
4120 Southwest Fwy Ste 150
Houston, TX 77027-7340
Phone
(713) 355-1500
Fax
(713) 622-2314
NPI assigned
May 17, 2011
Last updated
May 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Authorized official

Name
Kenneth EfirdNPI 1639219785
Title
Adminstrator
Phone
(713) 355-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X J5807 TX Primary

Addresses

Primary practice location

4120 Southwest Fwy Ste 150
Houston, TX 77027-7340

Mailing address

4120 Southwest Fwy Ste 150
Houston, TX 77027-7340
Phone (713) 355-1500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1932492469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277340",
            "telephone_number": "713-355-1500",
            "fax_number": "713-622-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277340",
            "telephone_number": "713-355-1500",
            "fax_number": "713-622-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR PROCEDURE SUITES OF HOUSTON,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "EFIRD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "713-355-8600"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "J5807",
            "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 May 17, 2011; 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.