Active NPI
Michael John Romanko, M.D.
- Emergency Medicine Physician
- Nassau Bay, TX
National Provider Identifier
1245347749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- F7116
- Practice address
- 18300 St. John Drive
Nassau Bay, TX 77058-6302 - Phone
- (281) 333-8822
- Fax
- (281) 333-8857
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | F7116 | TX | Primary |
Addresses
Primary practice location
18300 St. John Drive
Nassau Bay, TX 77058-6302
Mailing address
3560 Delaware St
Suite 601-a
Beaumont, TX 77706-3067
Phone (800) 258-2016
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82671B | Other | TX | BLUE CROSS/BLUE SHIELD |
| 3718667 | Other | TX | CIGNA |
| 4229658 | Other | TX | AETNA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Emergency Physician Associates, P.a. | Emergency Medicine | Past | Accepting new patients |
| Harris Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Nassau Bay, TX
- NPI 1225230683
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245347749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 DELAWARE ST",
"address_2": "SUITE 601-A",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777063067",
"telephone_number": "800-258-2016",
"fax_number": "409-924-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18300 ST. JOHN DRIVE",
"city": "NASSAU BAY",
"state": "TX",
"postal_code": "770586302",
"telephone_number": "281-333-8822",
"fax_number": "281-333-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANKO",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F7116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "82671B",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3718667",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4229658",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nassau Bay, 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.