Organization Active NPI

Dr. Maxwell S. Adu-Lartey PA

Doing business as Houston Spine Institute

  • Orthopaedic Surgery of the Spine Physician
  • Katy, TX
National Provider Identifier
1982006508
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
P2409 Issued in TX
Legal business name
DR. MAXWELL S. ADU-LARTEY PA
Doing business as
Houston Spine Institute
Practice address
705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Phone
(832) 321-4076
Fax
(832) 321-4080
NPI assigned
Sep 26, 2014
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Dr. Samuel Maxwell Adu-Lartey, D.ONPI 1801096987
Title
President
Phone
(832) 321-4076

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 P2409 TX Primary

Addresses

Primary practice location

705 S Fry Rd
Suite 215
Katy, TX 77450-2251

Mailing address

705 S Fry Rd
Suite 215
Katy, TX 77450-2251
Phone (832) 321-4076

Other names 1

  • Houston Spine Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150508001467 TX Part B Supplier - Clinic/Group Practice 0840519054 Receives reassigned benefits from 1 practitioner
Practice locations: Katy, TX

National Provider Directory

National Provider Directory

Locations

705 S Fry Rd
Ste 225
Katy, TX 77450
Phone (281) 492-7062

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Chase Houston Hospital LPHouston, TX, CCN 670135 Hospital Limited Partnership Interest (1.08%) Nov 8, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1982006508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S FRY RD",
            "address_2": "SUITE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502251",
            "telephone_number": "832-321-4076",
            "fax_number": "832-321-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S FRY RD",
            "address_2": "SUITE 215",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502251",
            "telephone_number": "832-321-4076",
            "fax_number": "832-321-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MAXWELL S. ADU-LARTEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "ADU-LARTEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-321-4076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "P2409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.