Organization Active NPI

Buckeye Anesthesia Services PLLC

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1972035533
Registry record updated Apr 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
BUCKEYE ANESTHESIA SERVICES PLLC
Practice address
1120 Nasa Pkwy
Houston, TX 77058-3320
Phone
(832) 858-6531
NPI assigned
Mar 31, 2017
Organization subpart
Yes
Parent organization
MEDIFIT MEDICAL SOLUTIONS LLC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2017

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

Authorized official

Name
Dr. Mohamad Azzam
Title
Owner
Phone
(832) 858-6531

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X

Addresses

Primary practice location

1120 Nasa Pkwy
Houston, TX 77058-3320

Mailing address

PO Box 957
Friendswood, TX 77549-0957

National Provider Directory

National Provider Directory
Part of
Medifit Medical Solutions LLC

Locations

1120 Nasa Pkwy
Houston, TX 77058
Phone (713) 664-4447

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491091200000",
    "number": "1972035533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 957",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775490957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 NASA PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583320",
            "telephone_number": "832-858-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE ANESTHESIA SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDIFIT MEDICAL SOLUTIONS LLC.",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-04-02",
        "status": "A",
        "authorized_official_last_name": "AZZAM",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-858-6531",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 2, 2017; 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.