Organization Active NPI

Huntsville Physical Medicine Institute PA

  • Sports Medicine (Family Medicine) Physician
  • Huntsville, TX
National Provider Identifier
1689916330
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
K1707 Issued in TX
Legal business name
HUNTSVILLE PHYSICAL MEDICINE INSTITUTE PA
Practice address
901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770
Phone
(936) 291-2111
Fax
(936) 291-0665
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Isnardo E Tremor, MD
Title
Owner
Phone
(936) 291-2111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X K1707 TX Primary
Durable Medical Equipment & Medical Supplies 332B00000X K1707 TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X TX

Addresses

Primary practice location

901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770

Mailing address

901 Normal Park Dr
Suite 201
Huntsville, TX 77320-3770
Phone (936) 291-2111

National Provider Directory

National Provider Directory

Locations

901 Normal Park Dr
Ste 201
Huntsville, TX 77320
Phone (936) 291-2111

901 Normal Park Dr
Huntsville, TX 77320

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1689916330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NORMAL PARK DR",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773203770",
            "telephone_number": "936-291-2111",
            "fax_number": "936-291-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE PHYSICAL MEDICINE INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "TREMOR",
        "authorized_official_first_name": "ISNARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-291-2111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "K1707",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "K1707",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.