TYLER RADIOLOGY ASSOCIATES (NPI# 1003981465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003981465 |
| Entity Type | Organization |
| Organization Name | TYLER RADIOLOGY ASSOCIATES |
| Other Organization Name | EMPHYSIS |
| Practice Address |
3200 Troup Hwy Ste 340 Tyler TX 75701-8343 |
| Practice Telephone | 9035343700 |
| Mailing Telephone | 9035343700 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JANICE LEONARD (MANAGER) |
| Authorized Official Telephone | 9035943700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CHAMPUS ID | K00006916 | 01 |
| Other Name | Type Code |
|---|---|
| Emphysis | Doing Business As Name - Organization |
| Street Address |
3200 TROUP HWY STE 340 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-8343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699181842 | Charles H Dickerson | Radiologic Technologist | 2208 Old Henderson Hwy, Tyler, TX 75702-6457 | 2014-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087049 | Alaa Mohamed | Radiologic Technologist | 8330 Lyndon B Johnson Fwy Ste B302, Dallas, TX 75243-1166 | 2020-03-04 |
| 1346882628 | 247 Mobile X-ray Services LLC | Radiologic Technologist | 10407 Shanley Landing Ct, Richmond, TX 77407-2727 | 2019-10-08 |
| 1205308707 | Dax Eli Wagner | Radiologic Technologist | 815 Hanks St, Lufkin, TX 75904-4961 | 2018-12-20 |
| 1578041828 | Sarah Nichole Northcutt | Radiologic Technologist | 12517 Nicholas Pl, Rhome, TX 76078-6064 | 2018-07-30 |
| 1649779448 | Rafael Rodriguez | Radiologic Technologist | 11365 Montwood Dr Ste A, El Paso, TX 79936-3867 | 2018-02-07 |
| 1568997559 | Gregory Abdullah | Radiologic Technologist | 134 E Mistletoe Ave, San Antonio, TX 78212-3407 | 2017-04-27 |
| 1093261604 | Julio Alcala | Radiologic Technologist | 10291 Pellicano Suite 102, El Paso, TX 79935 | 2016-09-01 |
| 1700339959 | Nina Tokpawhiea | Radiologic Technologist | 9900 Adleta Blvd Apt 711, Dallas, TX 75243-9211 | 2016-07-24 |
| 1780058032 | Daniel Benard Suniga | Radiologic Technologist | 2250 Holly Hall St Apt 345, Houston, TX 77054-3941 | 2015-11-24 |
| 1104292119 | William Lewis Snyder Jr. | Radiologic Technologist | 551 Renee Ln, Desoto, TX 75115-5161 | 2015-08-12 |
| Find all providers with the same taxonomy | ||||
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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.