Active NPI
Jordan Morrow
- Physician Assistant
- Houston, TX
National Provider Identifier
1992266787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA12492
- Practice address
- 1635 North Loop W
Houston, TX 77008-1532 - Phone
- (713) 867-3336
- NPI assigned
- Mar 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12492 | TX | Primary |
Addresses
Primary practice location
1635 North Loop W
Houston, TX 77008-1532
Mailing address
225 S Heights Blvd Apt 4212
Houston, TX 77007-6362
Other names 1
- Jordan Surrett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA12492 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Vita Women S Wellness Center PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18199/brand/1/csg/1/fhir/r4
- jordan.morrow@444021324382212.direct.elationemr.com
- https://api.platform.athenahealth.com/11541/brand/61/csg/841/fhir/r4
Organizations & group practices 1
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.
-
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- NPI 1366913980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1992266787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S HEIGHTS BLVD APT 4212",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770076362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 NORTH LOOP W",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081532",
"telephone_number": "713-867-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORROW",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA12492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "SURRETT",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.