Active NPI
Laura Murphy Fertak, PAC
- Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00454
- Practice address
- 6550 Fannin St
Suite 2600
Houston, TX 77030-2717 - Phone
- (713) 441-3595
- Fax
- (713) 793-7107
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00454 | TX | |
| Physician Assistant | 363A00000X | PA00454 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 2600
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 2600
Houston, TX 77030-2717
Phone (713) 441-3595
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331502001 | Medicaid | TX | |
| 616771101 | Other | US DEPT OF LABOR | |
| 616771105 | Other | US DEPT OF LABOR | |
| 1982604658 | Other | TX | BLUE CROSS BLUE SHIELD |
| 8Y0159 | Other | TX | BCBS |
| P00369474 | Other | TX | MEDICARE RAILROAD |
| P01170506 | Other | TX | RR MEDICARE |
| 331502002 | Medicaid | TX | |
| 601771109 | Other | US DEPT OF LABOR | |
| 616771110 | Other | US DEPT OF LABOR | |
| 86N043 | Other | BCBSTX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Houston, TX 77024
Phone (832) 522-8720
5505 W Loop S
Suite 100
Houston, TX 77081-2206
Phone (713) 441-9000
6445 Main St
Houston, TX 77030-1502
6445 Main St Opc
Houston, TX 77030-1502
6565 Fannin St
Houston, TX 77030-2703
6565 Fannin St Main
577 Methodist Acad Med Assoc
Houston, TX 77030-2703
Phone (713) 441-0428
7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955
9090 Katy Fwy
Suite 200
Houston, TX 77024-1696
Phone (713) 363-8016
Hospital & facility affiliations
- Houston Methodist Hospital
- Houston Methodist Clear Lake Hospital
- Houston Methodist West Hospital
- Houston Methodist Sugarland Hospital
- Houston Methodist the Woodlands Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA00454 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| Houston Methodist Specialty Physicians | Current | Accepting new patients | |
| TMH Physician Associates PLLC | Current | Accepting new patients | |
| TMH Physician Organization | Past | Accepting new patients | |
| Tmhpo Orthopedics Department | Past | Accepting new patients | |
| Houston Methodist | Past | Accepting new patients |
Locations
2610 N Alexander Dr
Ste 201
Baytown, TX 77520
Phone (281) 427-6363
7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955
6550 Fannin St
Ste 2600
Houston, TX 77030
Phone (713) 441-2663
5505 West Loop S
Ste 100
Houston, TX 77081
Phone (346) 238-1900
6550 Fannin St
Ste 447
Houston, TX 77030
Phone (713) 441-0633
6550 Fannin St
Ste 1150
Houston, TX 77030
Phone (713) 441-2670
6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150
8603 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 485-4770
16811 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 275-0450
16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Interoperability endpoints
- lmurphyfertak20813@directhoustonmethodist.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Orthopaedic Surgery Physician
- Spring, TX
- NPI 1043061351
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
-
- Plastic and Reconstructive Surgery Physician
- Houston, TX
- NPI 1285684431
-
- Orthopaedic Trauma Physician
- Houston, TX
- NPI 1497795272
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1952723967
-
- General Acute Care Hospital
- Houston, TX
- NPI 1083937593
-
- General Acute Care Hospital
- The Woodlands, TX
- NPI 1184179194
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1497871628
-
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1982604658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-3595",
"fax_number": "713-793-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2600",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-441-3595",
"fax_number": "713-793-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERTAK",
"first_name": "LAURA",
"middle_name": "MURPHY",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "PA00454",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA00454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331502001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "616771101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "616771105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1982604658",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y0159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00369474",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01170506",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331502002",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "601771109",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "616771110",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "86N043",
"state": null
}
],
"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 Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.