DR. JUSTIN D SACKS (NPI# 1285926659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285926659 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN D SACKS |
| Credential | M.D |
| Practice Address |
627 Turtle Creek Dr Tyler TX 75701 |
| Mailing Address |
627 Turtle Creek Dr Tyler TX 75701-1832 |
| Practice Telephone | 9035932539 |
| Practice Fax Number | 9035930559 |
| Mailing Telephone | 9035932539 |
| Mailing Fax Number | 9035930559 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2019-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
P4240 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11937 Us Highway 271, Tyler, TX 757083154 | 9038777777 | |
| 3500 Gaston Ave, Dallas, TX 752462017 | 2148202361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497835946 | Justin M Sacks | Plastic Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2006-10-17 |
| Street Address |
627 TURTLE CREEK DR |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554673 | James F. Cabell IIi | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2005-08-10 |
| 1487110474 | Jonathan David Dickson | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2019-02-14 |
| 1861933954 | Sabra L Dixon | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2017-03-09 |
| 1568914984 | Ariel Hortillosa Temporal | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2016-11-02 |
| 1811323108 | Tori Burns | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2013-09-19 |
| 1689963357 | Jose Luis Enriquez | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2011-04-04 |
| 1093016487 | Marta D Stanley | Physician Assistant | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-11-16 |
| 1578879151 | Blake A Watson | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-08-20 |
| 1104141399 | Eric Weissmann | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2010-03-31 |
| 1487828596 | Charles D. Crum | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2008-04-18 |
| Find all providers in the same location | ||||
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290340 | Mission Vascular Specialists Corp | Radiology | 718 Lexington Ave Fl 1, San Antonio, TX 78212-4768 | 2020-03-12 |
| 1568095891 | Interventional Partners LLC | Radiology | 4323 N Josey Ln Ste 200, Carrollton, TX 75010-4619 | 2020-02-14 |
| 1467085795 | Interventional Partners LLC | Radiology | 400 W Arbrook Blvd Ste 320, Arlington, TX 76014-3180 | 2020-02-14 |
| 1447883772 | Interventional Partners LLC | Radiology | 3400 Interstate Highway 30 Ste 180, Mesquite, TX 75150-2601 | 2020-02-14 |
| 1649811571 | Amh Ir LLC | Radiology | 4425 Bluestem St, Flower Mound, TX 75028-1123 | 2019-10-02 |
| 1497300081 | Minimally Invasive Surgical Pllc | Radiology | 4532 N Mesa St Ste B2, El Paso, TX 79912-6286 | 2019-08-09 |
| 1922666189 | Interventional Partners, LLC | Radiology | 251 W Medical Center Blvd Ste 200, Webster, TX 77598-4242 | 2019-06-03 |
| 1922563410 | Virtx LLC | Radiology | 13284 Bigelow Ln, Frisco, TX 75035-0782 | 2019-02-08 |
| 1831688779 | Humble Interventional Partners Md Pa | Radiology | 8411 Fm 1960 Bypass Rd W, Humble, TX 77338-4013 | 2018-05-07 |
| 1386163780 | Sunrise Vascular Pllc | Radiology | 2715 Boca Chica Blvd Ste 3, Brownsville, TX 78521-3676 | 2017-09-18 |
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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.