WOMENS TOTAL CARE OF EAST TEXAS (NPI# 1326018656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326018656 |
| Entity Type | Organization |
| Organization Name | WOMENS TOTAL CARE OF EAST TEXAS |
| Practice Address |
649 S Broadway Ave Ste 2 Tyler TX 75701-1677 |
| Mailing Address |
914 S Bolton St Jacksonville TX 75766-2906 |
| Practice Telephone | 9039392273 |
| Practice Fax Number | 9035812137 |
| Mailing Telephone | 9035860836 |
| Mailing Fax Number | 9035891052 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | DR. JAMES LOUIS WASSON (OWNER) |
| Authorized Official Telephone | 9039392273 |
| Authorized Official Credential | MD, FACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 207VC0200X |
Obstetrics & Gynecology Specialization: Critical Care Medicine |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
J6274 | TX | Allopathic & Osteopathic Physicians |
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
J6274 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
J6274 | TX | Technologists, Technicians & Other Technical Service Providers |
| N | 363L00000X | Nurse Practitioner | J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
J6274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207V00000X | Obstetrics & Gynecology | J6274 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 155813201 | 05 | |
| BLUE CROSS & BLUE SHIELD | 0025HZ | 01 | |
| TX | RAILROAD MEDICARE | DG6694 | 01 |
| Street Address |
649 S BROADWAY AVE STE 2 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-1677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598736829 | James Louis Wasson | Obstetrics & Gynecology | 649 S Broadway Ave Ste 2, Tyler, TX 75701-1677 | 2006-01-26 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407229693 | Ann H Abrameit | Obstetrics & Gynecology | 1100 E Lake St Ste 260, Tyler, TX 75701-3359 | 2015-11-10 |
| 1093009185 | Jessica Clifton Charest | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701 | 2011-06-06 |
| 1184952392 | Womens Environment | Obstetrics & Gynecology | 619 Courtview, Tyler, TX 75703-5916 | 2009-11-28 |
| 1316001753 | Sherilyn A. Willis | Obstetrics & Gynecology | 2017 Rickety Ln, Tyler, TX 75703-1706 | 2006-12-20 |
| 1346250149 | William E Brown | Obstetrics & Gynecology | 4290 Kinsey Dr, Ste 200, Tyler, TX 75703-1024 | 2006-08-08 |
| 1336159128 | Amanda L Harris | Obstetrics & Gynecology | 700 Olympic Plaza Cir Ste 503, Tyler, TX 75701-1952 | 2006-08-08 |
| 1528096542 | Arnold D Wharton | Obstetrics & Gynecology | 900 Medical Dr, Tyler, TX 75701-2129 | 2006-06-29 |
| 1740230820 | Trinity Clinic | Obstetrics & Gynecology | 733 S. Fleishel, Tyler, TX 75701 | 2006-05-11 |
| 1568435329 | Joe B Belue | Obstetrics & Gynecology | 534 S Beckham Ave, Tyler, TX 75702-8310 | 2006-02-10 |
| 1710950530 | Stephanie H Carl | Obstetrics & Gynecology | 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 | 2006-02-10 |
| Find all providers in TYLER | ||||
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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.