MEMORIAL HERMANN SURGERY CENTER RICHMOND, LLC (NPI# 1366776106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366776106 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HERMANN SURGERY CENTER RICHMOND, LLC |
| Other Organization Name | MEMORIAL HERMANN SURGERY CENTER RICHMOND |
| Practice Address |
1517 Thompson Rd Ste 100 Richmond TX 77469-4932 |
| Practice Telephone | 2813445444 |
| Practice Fax Number | 2813445465 |
| Mailing Telephone | 2813445444 |
| Mailing Fax Number | 2813445465 |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | JENETHA D MORAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
130027 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00844266 | 01 |
| Other Name | Type Code |
|---|---|
| Memorial Hermann Surgery Center Richmond | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21155 Southwest Fwy, Richmond, TX 774697101 | 2813445444 | 2813445465 |
| Street Address |
1517 THOMPSON RD STE 100 |
| City | RICHMOND |
| State | TX |
| Zip Code | 77469-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155751 | Jeffrey E Liang | Family Medicine | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2005-06-22 |
| 1326673930 | Jacquelyne Nicole Holquin | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-03-04 |
| 1790310316 | Lelet Coloma | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-03-04 |
| 1134753296 | Richard Dean King | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-02-27 |
| 1821621475 | Kyle Blair | Physical Therapist | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2020-02-21 |
| 1356698724 | Geoffrey Newcomer Konopka | Orthopaedic Surgery | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2012-08-05 |
| 1750521944 | Rosa Lee Duhon | Registered Nurse | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2009-02-27 |
| 1447496252 | Ashley Nasim Baxter | Chiropractor | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2008-12-29 |
| 1497991632 | Lillian W Orson Md Pa | Radiology | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2008-12-17 |
| 1538328943 | Candice A Burnette | Physical Medicine & Rehabilitation | 1517 Thompson Rd, Richmond, TX 77469-4932 | 2008-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| 1508496993 | Vanessa Joyce Daniels | Counselor | 22155 Wildwood Park Road, 615, Richmond, TX 77469 | 2020-01-24 |
| 1881230183 | Tiffany Elaine Chen | Counselor | 22034 Rustic Canyon Lane, Richmond, TX 77469 | 2019-11-21 |
| 1265074199 | Laura Y Magana | Technician | 212 Mellon Street, Richmond, TX 77469 | 2019-10-11 |
| 1629626155 | Kofi Assenso-onyinah | Registered Nurse | 8111 Baccharis Road, Richmond, TX 77469 | 2019-08-28 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1205317302 | Amarachi Peace Okafor | Registered Nurse | 22018 Rustic Canyon Ln, Richmond Tx, TX 77469 | 2018-08-27 |
| 1649750969 | Brazos Hybrid Pharmacy LLC | Pharmacy | 545 Fm 2977 Road Suite 110, Rosenberg, TX 77469 | 2018-08-16 |
| 1104303437 | Richmond Rx LLC | Pharmacy | 1100 Jackson Street, Suite D, Richmond, TX 77469 | 2018-07-19 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| Find all providers in zip 77469 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518450790 | Virginia Ent Surgery Center Inc | Clinic/Center | 6600 W Broad St Ste 210, Richmond, VA 23230-1709 | 2018-06-12 |
| 1447743174 | Starlink Surgery Center, LLC | Clinic/Center | 7830 W Grand Pkwy S Ste 150, Richmond, TX 77406-5819 | 2018-06-07 |
| 1053793513 | Wycoff Heights Medical Center | Clinic/Center | 20106 Parker Bend Ln, Richmond, TX 77407-1669 | 2015-06-22 |
| 1649575796 | River Pointe Surgical Center, L.p. | Clinic/Center | 21155 Southwest Fwy, Richmond, TX 77469 | 2011-01-21 |
| 1639347990 | The Virginia League for Planned Parenthood | Clinic/Center | 201 N. Hamilton St, Richmond, VA 23221 | 2008-02-20 |
| 1013116748 | Bayspine Surgery Center LLC | Clinic/Center | 3065 Richmond Pkwy Ste 100, Richmond, CA 94806-5719 | 2007-07-12 |
| 1053336602 | Virginia Eye Institute Inc | Clinic/Center | 402 Westhampton Sta, Richmond, VA 23226-3330 | 2006-07-13 |
| 1033135314 | Med Atlantic Inc | Clinic/Center | 9101 Stony Point Pkwy, Richmond, VA 23235-2002 | 2006-07-13 |
| 1205801461 | Eastern Indiana Center for Ambulatory Surgery LLC | Clinic/Center | 1350 Chester Blvd, Richmond, IN 47374-1907 | 2006-02-21 |
| 1093716037 | Cataract and Refractive Surgery Center, LLC | Clinic/Center | 2010 Bremo Road, Suite 132, Richmond, VA 23226 | 2005-08-01 |
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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.