NPIMap

Organization Active NPI

Elizabeth J Wanner, MD., PA

  • Family Medicine Physician
  • Tomball, TX
National Provider Identifier
1811261837
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELIZABETH J WANNER, MD., PA
Practice address
1101 Alma St
Ste 102
Tomball, TX 77375-4554
Phone
(281) 351-1411
Fax
(281) 351-0240
NPI assigned
Mar 8, 2012
Last updated
Mar 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Dr. Elizabeth Jean Wanner, MD., PANPI 1922004969
Title
Physician/Owner
Phone
(281) 351-1411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1101 Alma St
Ste 102
Tomball, TX 77375-4554

Mailing address

1101 Alma St
Ste 102
Tomball, TX 77375-4554
Phone (281) 351-1411

National Provider Directory

National Provider Directory

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": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1811261837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ALMA ST",
            "address_2": "STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754554",
            "telephone_number": "281-351-1411",
            "fax_number": "281-351-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH J WANNER, MD., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "WANNER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "281-351-1411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD., PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Mar 8, 2012; 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.