Tommy Polk, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

E5600 Issued in TX

Practice address

17080 Red Oak Dr
Houston, TX 77090-2602

Phone

(713) 851-8703

NPI assigned

Jan 13, 2006

Last updated

Sep 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lonestar Spine & Pain Consultants, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Houston, TX
  • NPI 1508365081
  NPD (past)
• Red Oak Anesthesia Associates Partnership

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1619909967
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1437138708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FM 190 WEST",
            "address_2": "SUITE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902602",
            "telephone_number": "713-851-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Ann Polk, LPC
• Maria Gwendoline Polk, RN MSN GNP-BC
• Mia Polk, NP
• Robert Troy Polk, MSN, PMHNP
• Sherri Polk
• Verneisha Donya Polk
• Polka Dot Journey LLC
• Polkadot Pediatric Therapy, LLC
• Andrea Pollack, D.O.
• Jo M Pollack, MD

• Anesthesiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.