1972672442 NPI number — JASON SCHEIER CRNA

Table of content: JASON SCHEIER CRNA (NPI 1972672442)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972672442 NPI number — JASON SCHEIER CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHEIER
Provider First Name:
JASON
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972672442
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1075 KINGWOOD DR
Provider Second Line Business Mailing Address:
STE 150
Provider Business Mailing Address City Name:
KINGWOOD
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77339-3010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-358-8114
Provider Business Mailing Address Fax Number:
281-358-0609

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4120 SOUTHWEST FWY
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77027-7339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-626-8500
Provider Business Practice Location Address Fax Number:
713-626-8560
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  677279 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 163W00000X , with the licence number: RN9219382 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , with the licence number: 586582 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 367500000X , with the licence number: RN580473 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1018400340001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00427800 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: DF2815 . This is a "RAILROAD MEDICARE GROUP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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