Organization Active NPI

Jeromy T Hackney, MD, PA

  • Urology Physician
  • Webster, TX
National Provider Identifier
1912414889
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P9582 Issued in TX
Legal business name
JEROMY T HACKNEY, MD, PA
Practice address
8 Professional Park Dr
Webster, TX 77598-4127
Phone
(281) 724-5120
Fax
(281) 724-5119
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Dr. Jeromy T Hackney, MD
Title
Director
Phone
(832) 998-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X P9582 TX Primary

Addresses

Primary practice location

8 Professional Park Dr
Webster, TX 77598-4127

Mailing address

133 N Friendswood Dr # 326
Friendswood, TX 77546-3746
Phone (832) 998-4440

National Provider Directory

National Provider Directory

Locations

6807 Emmett F Lowry Expy
Ste 302
Texas City, TX 77591
Phone (281) 724-5120

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1912414889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N FRIENDSWOOD DR # 326",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463746",
            "telephone_number": "832-998-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 PROFESSIONAL PARK DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984127",
            "telephone_number": "281-724-5120",
            "fax_number": "281-724-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROMY T HACKNEY, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "HACKNEY",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-998-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "P9582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2018; 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.