NPIMap

Individual provider Active NPI

Audrey Karen Tamm, MD

  • Pediatrics Physician
  • The Woodlands, TX
National Provider Identifier
1760417869
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J0300 Issued in TX
Practice address
4800 W Panther Creek Dr
Ste 100
The Woodlands, TX 77381-2563
Phone
(281) 364-8600
Fax
(281) 298-2005
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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 J0300 TX Primary

Addresses

Primary practice location

4800 W Panther Creek Dr
Ste 100
The Woodlands, TX 77381-2563

Mailing address

4800 W Panther Creek Dr
Ste 100
The Woodlands, TX 77381-2563
Phone (281) 364-8600

Other identifiers 2

IdentifierTypeStateIssuer
731653079OtherTXTAX ID
135944010MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Health Centers Past Accepting new patients
St. Luke'S Community Health Services Past Accepting new patients
Step Pediatrics, PA Pediatrics Past Accepting new patients
Pediatric Hospitalist of Conroe PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: atamm27197@directhoustonmethodist.org

Organizations & group practices 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1760417869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR",
            "address_2": "STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812563",
            "telephone_number": "281-364-8600",
            "fax_number": "281-298-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR",
            "address_2": "STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812563",
            "telephone_number": "281-364-8600",
            "fax_number": "281-298-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMM",
        "first_name": "AUDREY",
        "middle_name": "KAREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J0300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "731653079",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135944010",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "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 20, 2009; 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.