Active NPI
Emerus Physician Group Id LLC
- Emergency Medicine Physician
- The Woodlands, TX
National Provider Identifier
1114430279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERUS PHYSICIAN GROUP ID LLC
- Practice address
- 8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1176 - Phone
- (713) 637-1146
- Fax
- (713) 637-1084
- NPI assigned
- Nov 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D Middlebrook, MD
- Title
- Chief Medical Officer
- Phone
- (713) 637-1003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1176
Mailing address
8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1176
Phone (713) 637-1146
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Conroe, TX
- NPI 1053383604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510531200000",
"number": "1114430279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8686 NEW TRAILS DR STE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773811176",
"telephone_number": "713-637-1146",
"fax_number": "713-637-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8686 NEW TRAILS DR STE 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773811176",
"telephone_number": "713-637-1146",
"fax_number": "713-637-1084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERUS PHYSICIAN GROUP ID LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-13",
"last_updated": "2017-11-13",
"status": "A",
"authorized_official_last_name": "MIDDLEBROOK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "713-637-1003",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.