IMPERIAL SURGERY CENTER LLC (NPI# 1629419932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629419932 |
| Entity Type | Organization |
| Organization Name | IMPERIAL SURGERY CENTER LLC |
| Practice Address |
13114 Fm 1960 Rd W Suite 118 Houston TX 77065-4290 |
| Practice Telephone | 7135599100 |
| Practice Fax Number | 7135599109 |
| Mailing Telephone | 7135599100 |
| Mailing Fax Number | 7135599109 |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. SHAILESH PATEL (GENERAL PARTNER) |
| Authorized Official Telephone | 7135599100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
13114 FM 1960 RD W SUITE 118 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063467439 | Farah Mamedov | Pediatrics | 13114 Fm 1960 Rd W, 114, Houston, TX 77065-4290 | 2006-05-24 |
| 1063988061 | Brendan Michael Green | Pharmacist | 13114 Fm 1960 Rd W, Houston, TX 77065-4290 | 2018-10-17 |
| 1568844058 | Tammy Heizelman | Pharmacist | 13114 Fm 1960 Rd W, Ste #120, Houston, TX 77065-4290 | 2015-06-22 |
| 1518362912 | Christina Sullivan | Nurse Practitioner | 13114 Fm 1960 Rd W, 114, Houston, TX 77065-4290 | 2014-10-28 |
| 1255778791 | Katherine Holzman | Family Medicine | 13114 Fm 1960 Rd W, Suite 119, Houston, TX 77065-4290 | 2013-05-23 |
| 1003158411 | Brenna Michell Muniz | Internal Medicine | 13114 Fm 1960 Rd W, Houston, TX 77065-4290 | 2013-03-24 |
| 1093057713 | Wortham Surgery Group | Clinic/Center | 13114 Fm 1960 Rd W, #118, Houston, TX 77065-4290 | 2013-03-20 |
| 1184970683 | Margaret Mcpherson | Pediatrics | 13114 Fm 1960 Rd W, Ste. 114, Houston, TX 77065-4290 | 2012-08-02 |
| 1407116437 | Pauline Scott | Dermatology | 13114 Fm 1960 Rd W, Houston, TX 77065 | 2012-05-24 |
| 1093020117 | Rosabelle Via Mcconkey | Pediatrics | 13114 Fm 1960 Rd W, #114, Houston, TX 77065-4290 | 2010-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801422837 | Capstone Surgery Center LLC | Clinic/Center | 8700 S Gessner Rd Ste 200, Houston, TX 77074-2916 | 2020-03-21 |
| 1497312540 | Memorial Hermann Surgery Center Main Street, LLC | Clinic/Center | 7515 Main St Ste 800, Houston, TX 77030-4518 | 2019-05-23 |
| 1548827637 | Hedwig Asc | Clinic/Center | 8731 Katy Fwy Ste 350, Houston, TX 77024-1703 | 2019-05-23 |
| 1750842209 | Memorial Ambulatory Surgery Center LLC | Clinic/Center | 8731 Katy Fwy Ste 400, Houston, TX 77024-1703 | 2019-03-27 |
| 1922563865 | Envision Surgical Institute | Clinic/Center | 3726 Dacoma St Ste 270, Houston, TX 77092-8906 | 2019-02-05 |
| 1710460191 | Weslayan Surgical Center, LLC | Clinic/Center | 4126 Southwest Fwy Ste 200, Houston, TX 77027-7316 | 2018-09-11 |
| 1255812509 | Spring Branch Procedure Suites | Clinic/Center | 8830 Long Point Rd Ste 502, Houston, TX 77055-3026 | 2018-08-24 |
| 1760999056 | Aspire Surgery Center | Clinic/Center | 3726 Dacoma St Ste 135, Houston, TX 77092-8906 | 2018-01-08 |
| 1457876898 | Mvp Specialist Surgery Center, LLC | Clinic/Center | 7501 Fannin St Ste 200, Houston, TX 77054-1953 | 2017-08-07 |
| 1205373057 | Bay Area Asc LLC | Clinic/Center | 8537 Gulf Fwy, Suite C, Houston, TX 77017-5102 | 2017-01-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.