Individual provider Active NPI

Tony John, MD

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1366462400
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L9751 Issued in TX
Practice address
1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone
(281) 292-8980
Fax
(281) 292-8070
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L9751 TX Primary

Addresses

Primary practice location

1595 Lake Front Cir
The Woodlands, TX 77380-3604

Mailing address

1595 Lake Front Cir
The Woodlands, TX 77380-3604
Phone (281) 292-8980

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tony.john@hped.eclinicaldirectplus.com Direct

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9751TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Pediatrics, PA Pediatrics PastSince Mar 26, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tony.john@hped.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1366462400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 LAKE FRONT CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803604",
            "telephone_number": "281-292-8980",
            "fax_number": "281-292-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "TONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L9751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tony.john@hped.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Messaging",
            "address_1": "1595 Lake Front Cir",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 May 24, 2022; 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.