MEMORIAL HERMANN SURGERY CENTER WOODFOREST
NPI 1639948565
Clinic/Center - Ambulatory Surgical in Montgomery, TX

NPI Status: Active since December 20, 2023

Contact Information

750 FISH CREEK THOROUGHFARE STE 200
MONTGOMERY, TX
ZIP 77316
Phone: (469) 872-4706
Fax: (972) 767-3547

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 45D2306528
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 06-18-2026

About MEMORIAL HERMANN SURGERY CENTER WOODFOREST

This page provides the complete NPI Profile along with additional information for Memorial Hermann Surgery Center Woodforest, a provider established in Montgomery, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1639948565 assigned on December 2023. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Memorial Hermann Surgery Center Woodforest. The authorized official of this NPI record is Nicholas Crafts (Officer/authorized Official)

NPI
1639948565
Provider Legal Name
MEMORIAL HERMANN SURGERY CENTER WOODFOREST LLC
Other Organization Name
MEMORIAL HERMANN SURGERY CENTER WOODFOREST
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
750 FISH CREEK THOROUGHFARE STE 200 MONTGOMERY, TX 77316
Location Phone
(469) 872-4706
Location Fax
(972) 767-3547
Mailing Address
750 FISH CREEK THOROUGHFARE STE 200 MONTGOMERY, TX 77316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2023
Last Update Date
11-20-2024
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Location Map

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:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Diabetes - EPO
  • Gold Classic - EPO
  • Gold Classic Guided Care - HMO
  • Gold Classic Standard - EPO
  • Gold Classic Standard Guided Care - HMO
  • Gold Elite - EPO
  • Gold Simple Diabetes Guided Care - HMO
  • Gold Simple Guided Care - HMO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard Guided Care - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care - HMO
  • Silver Simple Chronic Care CKM Guided Care - HMO
  • Silver Simple Diabetes Guided Care - HMO
  • Silver Simple Guided Care - HMO

*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

NICHOLAS CRAFTS

Authorized Official Title
OFFICER/AUTHORIZED OFFICIAL
Authorized Official Phone
(832) 729-4009

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2306528
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
June 19, 2024
Certificate Expiration Date
June 18, 2026
Laboratory Director
AMANDA C. RAMIREZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Memorial Hermann Surgery Center Woodforest to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MEMORIAL HERMANN SURGERY CENTER WOODFOREST

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639948565, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 9 → 18 → 9 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 8 + 4 + 1 + 6 + 5 + 1 + 2 + 24 = 75

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 75 is 80. The difference is the calculated check digit.

80 - 75 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1639948565.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639948565, enumerated as an "organization" on December 20, 2023.

The provider is located at 750 FISH CREEK THOROUGHFARE STE 200 MONTGOMERY, TX 77316 and the phone number is (469) 872-4706.

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

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to verify.