Active NPI
Buckeye Anesthesia Services PLLC
- Anesthesiology Physician
- Houston, TX
National Provider Identifier
1972035533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Pain Medicine (Anesthesiology) Physician | 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.
-
- Durable Medical Equipment & Medical Supplies
- Houston, TX
- NPI 1295267250
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.