Organization Active NPI

Tomlinson & Jezierski PLLC

Doing business as Montgomery Medical Center

  • General Practice Physician
  • Montgomery, TX
National Provider Identifier
1477717064
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
H4748 Issued in TX
Legal business name
TOMLINSON & JEZIERSKI PLLC
Doing business as
Montgomery Medical Center
Practice address
873B Eva St
Montgomery, TX 77356-1808
Phone
(936) 597-5555
Fax
(936) 597-5585
NPI assigned
Jul 14, 2008
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Micah D Tomlinson, M.D.
Title
Medcial Doctor
Phone
(936) 597-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X H4748 TX Primary

Addresses

Primary practice location

873B Eva St
Montgomery, TX 77356-1808

Mailing address

873B Eva St
Montgomery, TX 77356-1808
Phone (936) 597-5555

Other names 1

  • Montgomery Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Tomlinson Jezierski PLLC

Locations

873 Eva St
#B
Montgomery, TX 77356
Phone (281) 419-5010

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1477717064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873B EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561808",
            "telephone_number": "936-597-5555",
            "fax_number": "936-597-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873B EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561808",
            "telephone_number": "936-597-5555",
            "fax_number": "936-597-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMLINSON & JEZIERSKI PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY MEDICAL CENTER",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDCIAL DOCTOR",
        "authorized_official_telephone_number": "936-597-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "H4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.