Dr. Maxwell S. Adu-Lartey PA
Organization Active NPI Orthopaedic Surgery of the Spine Physician · Katy, TX
NPI 1982006508 · NPPES record last updated Oct 16, 2014
Key facts
- NPI
- 1982006508
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery of the Spine Physician 207XS0117X
- License
- P2409 (TX)
- Legal business name
- DR. MAXWELL S. ADU-LARTEY PA
- 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Samuel Maxwell Adu-Lartey, D.O
- Title
- President
- Phone
- (832) 321-4076
Owned or controlled facilities with NPI records 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| West Chase Houston Hospital LP |
Hospital | Limited Partnership Interest (1.08%) | Nov 8, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150508001467 | TX | Part B Supplier - Clinic/Group Practice | 0840519054 |
Receives reassigned benefits from 1 practitioner Practice locations: Katy, TX |
National Provider Directory
Locations
705 S Fry Rd
Ste 215
Katy, TX 77450
Phone (281) 579-0186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | P2409 | TX | Yes |
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
- Houston Spine Institute
Other providers in Katy, TX
- Dr Mohamed Mostafa PLLC
- Dr Mubarak Khawaja PA
- Dr Ohealling PLLC
- Dr Teddy PLLC
- Dr. Amit Shah & Associates
- Dr. Scott C. Burdge P.a.
- Dr. W. Dermatology
- Dr.Peter Timm #1, PLLC
- Garrett Draggoo
- Audrey Lynn Drake
All providers in Katy, TX · Orthopaedic Surgery of the Spine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.