JACKSON STREET SURGICAL CENTER LLC (NPI# 1245690916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245690916 |
| Entity Type | Organization |
| Organization Name | JACKSON STREET SURGICAL CENTER LLC |
| Other Organization Name | MID-TOWN SURGICAL CENTER |
| Practice Address |
2015 Jackson Street Houston TX 77003 |
| Practice Telephone | 2819742300 |
| Mailing Telephone | 2819742300 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | ADITY SHARMA (OWNER) |
| Authorized Official Telephone | 7326981000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
130278 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mid-Town Surgical Center | Doing Business As Name - Organization |
| Street Address |
2015 JACKSON STREET |
| City | HOUSTON |
| State | TX |
| Zip Code | 77003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831031 | Mazatta D. White | Technician | 1919 Runnels St., Apt #86, Houston, TX 77003 | 2019-09-27 |
| 1407328578 | Brenda Guzman Castillo | Physician Assistant | 3003 Navigation Boulevard, Houston, TX 77003 | 2018-12-29 |
| 1942668405 | Eado Family Dental Pllc | Dentist | 2240 Navigation Blvd, Suite 300, Houston, TX 77003 | 2016-01-29 |
| 1669876967 | Donnie Ross Rambo Jr. | Driver | 2104 Canal, Houston, TX 77003 | 2014-10-15 |
| 1477888915 | Tyrone Springs | Dentist | 731 Live Oak St, Houston, TX 77003 | 2009-10-15 |
| 1346478930 | Apex Interventional Pain Management | Pain Medicine | 1749 Hutchins Street, Houston, TX 77003 | 2009-06-23 |
| 1376732040 | American Current Care, P.a. | Clinic/Center | 2004 Leeland, Houston, TX 77003 | 2007-10-18 |
| 1275757825 | Thao T Huynh | Chiropractor | 2117 Chenevert, Suite J, Houston, TX 77003 | 2007-04-13 |
| 1003968736 | Maestro A Evans | Social Worker | 2603 Bell, Houston, TX 77003 | 2007-01-16 |
| 1841376860 | Tue Duc Nguyen | Family Medicine | 1701 B Webster St, Houston, TX 77003 | 2006-10-31 |
| Find all providers in zip 77003 | ||||
| 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 |
| Find all providers in HOUSTON | ||||
Please comment or provide details below to improve the information on JACKSON STREET SURGICAL CENTER LLC.
| 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.