Individual provider Active NPI

Jerry Lee Hyatt, MD

  • Orthopaedic Surgery Physician
  • Tomball, TX
National Provider Identifier
1912973876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
E7626 Issued in TX
Practice address
602 Lawrence St
Tomball, TX 77375-3331
Phone
(281) 357-1600
Fax
(281) 357-1603
NPI assigned
Feb 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X E7626 TX Primary

Addresses

Primary practice location

602 Lawrence St
Tomball, TX 77375-3331

Mailing address

602 Lawrence St
Tomball, TX 77375-3331
Phone (281) 357-1600

Other identifiers 1

IdentifierTypeStateIssuer
E7626OtherTEXAS MEDICAL ID

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
Texas Orthopaedic & Sports Medicine Orthopaedic Surgery Past Accepting new patients
Jerry L. Hyatt, M.D. P.a. Orthopaedic Surgery Past Accepting new patients
Texas Orthopaedic & Sports Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912973876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-357-1600",
            "fax_number": "281-357-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 LAWRENCE ST",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753331",
            "telephone_number": "281-357-1600",
            "fax_number": "281-357-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E7626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL ID",
            "identifier": "E7626",
            "state": null
        }
    ],
    "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 Jul 8, 2007; 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.