MEMORIAL HERMANN CICD ASC
NPI 1629291323
Clinic/Center - Ambulatory Surgical in Houston, TX

NPI Status: Active since April 11, 2007

Contact Information

6411 FANNIN
HOUSTON, TX
ZIP 77030
Phone: (713) 704-6614
Fax: (713) 338-4158

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About MEMORIAL HERMANN CICD ASC

This page provides the complete NPI Profile along with additional information for Memorial Hermann Cicd Asc, a provider established in Houston, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629291323 assigned on April 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Memorial Hermann Cicd Asc. The authorized official of this NPI record is Mr. Dennis Laraway (Cfo)

NPI
1629291323
Provider Legal Name
MEMORIAL HERMANN HEALTH SYSTEM
Other Organization Name
MEMORIAL HERMANN CICD ASC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6411 FANNIN HOUSTON, TX 77030
Location Phone
(713) 704-6614
Location Fax
(713) 338-4158
Mailing Address
PO BOX 301208 DALLAS, TX 75303
Mailing Phone
(713) 338-4127
Mailing Fax
(713) 338-4158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2007
Last Update Date
06-25-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DENNIS LARAWAY

Authorized Official Title
CFO
Authorized Official Phone
(713) 242-2707

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
137805106MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629291323
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264949234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 4 + 9 + 2 + 3 + 4 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1629291323 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

ALISARA SUPTUESAT M.D.

Radiology

(Diagnostic Radiology)

6411 FANNIN
HOUSTON, TX
ZIP 77030

(713) 704-4000

MADHUMANI NAYANAKANTHI RUPASINGHE MD

Anesthesiology

6411 FANNIN
HOUSTON, TX
ZIP 77030

(713) 500-6200

STEVEN M. READ M.D.

Anesthesiology

6411 FANNIN
HOUSTON, TX
ZIP 77030

(713) 704-4000

MEMORIAL HERMANN HEALTH SYSTEM

General Acute Care Hospital

6411 FANNIN
HOUSTON, TX
ZIP 77030

(713) 704-6614

DR. GITANJALI INDRAMOHAN MD

Pediatrics

(Pediatric Critical Care Medicine)

6411 FANNIN
CHILDREN'S MEMORIAL HERMANN HOSPITAL
HOUSTON, TX
ZIP 77030

(713) 500-6443

DR. RYAN DREY WALSH MD

Emergency Medicine

6411 FANNIN
DEPARTMENT OF EMERGENCY MEDICINE
HOUSTON, TX
ZIP 77030

(713) 500-7885

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629291323, enumerated as an "organization" on April 11, 2007.

The provider is located at 6411 FANNIN HOUSTON, TX 77030 and the phone number is (713) 704-6614.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.