Organization Active NPI

Jerry L. Hyatt, M.D. P.a.

  • Orthopaedic Surgery Physician
  • Tomball, TX
National Provider Identifier
1306992094
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E7626 Issued in TX
Legal business name
JERRY L. HYATT, M.D. P.A.
Practice address
602 Lawrence
Suite E
Tomball, TX 77375-3331
Phone
(281) 357-1600
Fax
(281) 357-1603
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Jerry Lee Hyatt, M.D.NPI 1912973876
Title
Owner
Phone
(281) 357-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207X00000X E7626 TX Primary

Addresses

Primary practice location

602 Lawrence
Suite E
Tomball, TX 77375-3331

Mailing address

602 Lawrence
Suite E
Tomball, TX 77375-3331
Phone (281) 357-1600

Other identifiers 1

IdentifierTypeStateIssuer
E7626OtherTXMEDICAL LICENSE

Other names 1

  • Tomball Bone and Joint Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1306992094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-357-1600",
            "fax_number": "281-357-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-357-1600",
            "fax_number": "281-357-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. HYATT, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-357-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E7626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "E7626",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tomball Bone and Joint Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.