Individual provider Active NPI

Judith M Egerton, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1083748677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F6601 Issued in TX
Practice address
507 N Sam Houston Pkwy E
Suite 245
Houston, TX 77060-4021
Phone
(877) 293-1573
Fax
(877) 356-3108
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F6601 TX Primary

Addresses

Primary practice location

507 N Sam Houston Pkwy E
Suite 245
Houston, TX 77060-4021

Mailing address

4209 House of York
Austin, TX 78730-3455
Phone (512) 372-8933

Other identifiers 1

IdentifierTypeStateIssuer
F6601OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F6601TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Egerton Clinic P. a. Past Accepting new patients
Professional Imagaing, LLC Past Accepting new patients
Louisiana Dysphagia Consultants, L.L.C. Past Accepting new patients
Professional Imaging, PLLC PastSince Jun 21, 2014 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083748677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 HOUSE OF YORK",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303455",
            "telephone_number": "512-372-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N SAM HOUSTON PKWY E",
            "address_2": "SUITE 245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770604021",
            "telephone_number": "877-293-1573",
            "fax_number": "877-356-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERTON",
        "first_name": "JUDITH",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F6601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F6601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.