HOUSTON METHODIST ST. JOHN HOSPITAL (NPI# 1952723967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952723967 |
| Entity Type | Organization |
| Organization Name | HOUSTON METHODIST ST. JOHN HOSPITAL |
| Practice Address |
18300 Saint John Dr Houston TX 77058-6302 |
| Practice Telephone | 2813335503 |
| Mailing Telephone | 2813335503 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | PEYTON ELLIOTT (DIRECTOR) |
| Authorized Official Telephone | 2813332203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 336478802 | 05 | |
| TX | 336478801 | 05 |
| Street Address |
18300 SAINT JOHN DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003341603 | Jessica Renee Morales | Specialist/Technologist | 18300 Saint John Dr, Houston, TX 77058-6302 | 2017-04-21 |
| 1013387190 | Keilea Bullard | Specialist/Technologist, Other | 18300 Saint John Dr, Houston, TX 77058-6302 | 2015-10-01 |
| 1033506662 | Jason Keller | Nurse Practitioner | 18300 Saint John Dr, Houston, TX 77058 | 2015-04-21 |
| 1962790956 | Lindsay Latronya Moorehead | Physician Assistant | 18300 Saint John Dr, Houston, TX 77058-6302 | 2011-07-12 |
| 1043407133 | Frank John Becker | Spec/Tech, Pathology | 18300 Saint John Dr, Att: Christus St John Hospital Laboratory, Houston, TX 77058-6302 | 2007-10-02 |
| 1639374853 | Scott Bryant Mcgee | Anesthesiology | 18300 Saint John Dr, Houston, TX 77058-6302 | 2007-06-18 |
| 1194730754 | Lawrence A. Goodman, M.d., P. A. | Anesthesiology | 18300 Saint John Dr, Houston, TX 77058-6302 | 2006-07-30 |
| 1881609444 | William P Jones, Md, Pa | Anesthesiology | 18300 Saint John Dr, Houston, TX 77058-6302 | 2006-07-30 |
| 1598770158 | Bach N Lam, Md | Anesthesiology | 18300 Saint John Dr, Houston, TX 77058-6302 | 2006-07-30 |
| 1942215504 | Rakesh Bhardwaj, Md, Pa | Anesthesiology | 18300 Saint John Dr, Houston, TX 77058-6302 | 2006-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275177032 | Heights Hospital LLC | General Acute Care Hospital | 1917 Ashland St Ste 600, Houston, TX 77008-3907 | 2019-11-04 |
| 1396288536 | Amini Smc LLC | General Acute Care Hospital | 16103 Cerca Blanca Dr, Houston, TX 77083-4940 | 2016-11-20 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1316315989 | Supplemental Health Care | General Acute Care Hospital | 6851 Caddo Lake Ln, Houston, TX 77083-3505 | 2015-09-12 |
| 1316327679 | Taher Mustafa Mandviwala | General Acute Care Hospital | 12402 Normont Dr, Houston, TX 77070-2455 | 2015-06-02 |
| 1528451374 | Tangela Bristo | General Acute Care Hospital | 1699 Romano Park Ln, Apt 542, Houston, TX 77090-2353 | 2015-03-17 |
| 1578967121 | Horace T Robbins, M.d. | General Acute Care Hospital | 21 Briar Hollow Ln Unit 703, Houston, TX 77027-2808 | 2014-10-10 |
| 1588066849 | New Era Surgical Group, Pllc | General Acute Care Hospital | 4200 Twelve Oaks Drive, Houston, TX 77027 | 2014-09-18 |
| 1841690740 | Chi St Luke's Health Baylor St. Luke's Medical Center | General Acute Care Hospital | 6720 Bertner Street, Mc 4-278 Box 112, Houston, TX 77030 | 2014-08-27 |
| 1003158379 | Michael James Jamieson | General Acute Care Hospital | 1410 Southmore Blvd, Houston, TX 77004-5846 | 2013-03-25 |
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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.