DR. JEROMY T HACKNEY (NPI# 1225263817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225263817 |
| Entity Type | Individual |
| Full Name | DR. JEROMY T HACKNEY |
| Credential | M.D. |
| Practice Address |
400 W Medical Center Blvd Ste 245 Webster TX 77598 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2817245120 |
| Practice Fax Number | 2817245119 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9722340813 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | P9582 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8 Professional Park Dr, Webster, TX 775984127 | 2817245120 | |
| 800 Scott and White Dr, Urology, College Station, TX 778456440 | 9792074440 |
| Street Address |
400 W MEDICAL CENTER BLVD STE 245 |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683346 | Henry R Wagner Jr. | Urology | 8 Professional Park Dr, Webster, TX 77598-4127 | 2006-08-30 |
| 1912414889 | Jeromy T Hackney, Md, Pa | Urology | 8 Professional Park Dr, Webster, TX 77598-4127 | 2018-01-02 |
| 1932390127 | Joseph Nicholas Sreshta | Urology | 450 Blossom St, Suite C, Webster, TX 77598-4228 | 2007-08-05 |
| 1205955416 | Bay Area Urology Associates | Urology | 8 Professional Park Dr, Webster, TX 77598-4127 | 2007-03-28 |
| 1851420616 | Clear Lake Urology | Urology | 350 N Texas Ave, Suite A2, Webster, TX 77598-4959 | 2007-03-05 |
| 1285646471 | Matthew Hoggatt | Urology | 250 Blossom St, Suite 220, Webster, TX 77598 | 2006-08-13 |
| 1932125614 | Urology Associates of Houston, P.a. | Urology | 250 Blossom St, Suite 220, Webster, TX 77598-4204 | 2006-07-14 |
| 1104876523 | James C Humphries | Urology | 350 N Texas Ave, Suite A2, Webster, TX 77598-4959 | 2006-05-10 |
| 1205895174 | Philip Miller Ashman | Urology | 1680 Empire Blvd, Webster, NY 14580-1897 | 2006-03-20 |
| 1437141819 | James E Morneau | Urology | 17099 Texas Ave, Suite 400, Webster, TX 77598-4069 | 2005-08-22 |
| Find all providers in WEBSTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.