Organization Active NPI

Northeast Houston Spine Center PA

  • Orthopaedic Surgery of the Spine Physician
  • Houston, TX
National Provider Identifier
1962676122
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
M0921 Issued in TX
Legal business name
NORTHEAST HOUSTON SPINE CENTER PA
Practice address
14450 T.C. Jester
Suite 100
Houston, TX 77014-1331
Phone
(281) 292-1121
Fax
(832) 553-3211
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Mr. Saqib A. Siddiqui, MDNPI 1083686539
Title
President/MD
Phone
(281) 292-1121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X M0921 TX Primary

Addresses

Primary practice location

14450 T.C. Jester
Suite 100
Houston, TX 77014-1331

Mailing address

PO Box 132618
The Woodlands, TX 77393-2618
Phone (281) 292-1121

National Provider Directory

National Provider Directory

Locations

33300 Egypt Ln
Ste F200
Magnolia, TX 77354
Phone (281) 292-1121

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316390400000",
    "number": "1962676122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 132618",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773932618",
            "telephone_number": "281-292-1121",
            "fax_number": "832-553-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14450 T.C. JESTER",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141331",
            "telephone_number": "281-292-1121",
            "fax_number": "832-553-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HOUSTON SPINE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2011-09-19",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "SAQIB",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "281-292-1121",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M0921",
            "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 Sep 19, 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.