AMIR A HASSAN MD, PA - NPI NUMBER 1194819136

Summary

Provider Name: AMIR A HASSAN MD, PA

NPI Number: 1194819136

Clasification: Internal Medicine (207RE0101X)

Specialization: Endocrinology, Diabetes & Metabolism

Address:
11914 ASTORIA BLVD
SUITE 330
HOUSTON, TX
ZIP 77089

Phone Number: (281) 922-4000



Detailed Information

AMIR A HASSAN MD, PA is an endocrinology, diabetes & metabolism internist in Houston, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. The assigned NPI number for this provider is 1194819136 and is registered as an organization entity type and is a multi-specialty group.

The provider's business address is:

11914 ASTORIA BLVD
SUITE 330
HOUSTON, TX
ZIP 77089
Phone: (281) 922-4000
Fax: (281) 922-4242

The provider's authorized official is Debbie Stinebower .
The authorized official title is Accounts Receivable and has the following contact phone number (281) 922-4000.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 10/23/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 00189V MEDICARE PIN TX

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1194819136 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name AMIR A HASSAN MD, PA The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 11914 ASTORIA BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE 330 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name HOUSTON The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 77089 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 2819224000 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 2819224242 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 10/3/2006 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 10/23/2007 The date that a record was last updated or changed.
15 Authorized Official Last Name STINEBOWER The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name DEBBIE The first name of the authorized official.
17 Authorized Official Title or Position ACCOUNTS RECEIVABLE The title or position of the authorized official.
18 Authorized Official Telephone Number 2819224000 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 207RE0101X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 00189V Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 08 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 TX
24 Is Organization Subpart N
25 Authorized Official Name Prefix Text MRS.
26 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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