Organization Active NPI

Tomball Healthcare for Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Tomball, TX
National Provider Identifier
1770628521
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
J2888 Issued in TX
Legal business name
TOMBALL HEALTHCARE FOR PEDIATRICS
Practice address
13624 Michel Rd
Suite 201
Tomball, TX 77375-6409
Phone
(281) 351-6881
Fax
(291) 351-1191
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carl Allan Karr, MCNPI 1619978640
Title
President
Phone
(281) 351-6881

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X J2888 TX Primary

Addresses

Primary practice location

13624 Michel Rd
Suite 201
Tomball, TX 77375-6409

Mailing address

13624 Michel Rd
Suite 201
Tomball, TX 77375-6409
Phone (281) 351-6881

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2044431Tomball Healthcare for Pediatrics13624 Michel Rd, Suite 201, Tomball, TX 77375Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Locations

13624 Michel Rd
Ste 201
Tomball, TX 77375
Phone (281) 351-6881

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70249

Practitioners & affiliated clinicians

Practitioners 2

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770628521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 MICHEL RD",
            "address_2": "SUITE 201",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756409",
            "telephone_number": "281-351-6881",
            "fax_number": "291-351-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13624 MICHEL RD",
            "address_2": "SUITE 201",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773756409",
            "telephone_number": "281-351-6881",
            "fax_number": "291-351-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL HEALTHCARE FOR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARR",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-351-6881",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "J2888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.