Organization Active NPI

Micah Tomlinson MD PA

Doing business as Montgomery Medical Center

  • Family Medicine Physician
  • Montgomery, TX
National Provider Identifier
1518983261
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H4748 Issued in TX
Legal business name
MICAH TOMLINSON MD PA
Doing business as
Montgomery Medical Center
Practice address
20873B Eva St
Montgomery, TX 77356-1889
Phone
(936) 597-5555
Fax
(936) 597-5585
NPI assigned
Jul 14, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Dr. Micah Dee Tomlinson, MDNPI 1619158417
Title
Physician/President
Phone
(936) 597-5555

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
Family Medicine Physician 207Q00000X H4748 TX Primary

Addresses

Primary practice location

20873B Eva St
Montgomery, TX 77356-1889

Mailing address

20873B Eva St
Montgomery, TX 77356-1889
Phone (936) 597-5555

Other identifiers 1

IdentifierTypeStateIssuer
0074JLOtherTXBLUE CROSS

Other names 1

  • Montgomery Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

20873 Eva St
Ste B
Montgomery, TX 77356
Phone (936) 597-5555

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1518983261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20873B EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561889",
            "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": "20873B EVA ST",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773561889",
            "telephone_number": "936-597-5555",
            "fax_number": "936-597-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH TOMLINSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "936-597-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H4748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0074JL",
            "state": "TX"
        }
    ],
    "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 Feb 1, 2010; 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.