NEURO IR OF EAST TEXAS (NPI# 1508376716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508376716 |
Entity Type | Organization |
Organization Name | NEURO IR OF EAST TEXAS |
Practice Address |
700 Olympic Plaza Cir Ste 850 Tyler TX 75701-1955 |
Practice Telephone | 9037050072 |
Practice Fax Number | 9037050068 |
Mailing Telephone | 9037050072 |
Mailing Fax Number | 9037050068 |
Enumeration Date | 2017-10-03 |
Last Update Date | 2019-09-06 |
Authorized Official Name | CHERYL YVETTE ONEAL (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 9037050072 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians |
Street Address |
700 OLYMPIC PLAZA CIR STE 850 |
City | TYLER |
State | TX |
Zip Code | 75701-1955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619905502 | Thomas Alexander Jr Services | Radiologic Technologist | 700 Olympic Plaza Cir Ste 850, Southwestern Cerebral Circulatory Dynamics, Tyler, TX 75701-1955 | 2006-06-29 |
1336757228 | Amanda J Shipp | Nurse Practitioner | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-07-16 |
1316573751 | Eryn Ruth Hunter | Physician Assistant | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-03-17 |
1619442282 | Mayra Alejandra Avila Acord | Registered Nurse | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2018-10-09 |
1497919310 | Nicholas Stephen Andrade | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2008-07-10 |
1669672960 | Stephen Vincent Nalbach Jr. | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2007-07-24 |
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 | 2085N0700X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Neuroradiology |
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063472579 | Kurt Stephen Reuland | Radiology | 700 Olympic Plaza, Suite 850, Tyler, TX 75701 | 2006-03-27 |
1083669246 | Michael David Williams | Radiology | 700 Olympic Plaza, Suite 850, Tyler, TX 75701 | 2006-05-24 |
1245291202 | Gregory A Schultz | Radiology | 627 Turtle Creek Dr, Tyler, TX 75701-1832 | 2006-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710500269 | Alaha Samir Al Taweel | Radiology | 301 University Boulevard, 2.820 John Sealy Annex, Galveston, TX 77555-0709 | 2020-05-19 |
1134483738 | Michael Kai-shin Wang | Radiology | 311 Bowie St Apt 1905, Austin, TX 78703-0062 | 2012-06-28 |
1407032071 | Bing Wang | Radiology | 1400 Pressler Street., Rm. Fct16.5022, Ut Md Anderson Cancer Center, Houston, TX 77030 | 2008-01-14 |
1699959114 | Alexandros Lazaros Georgiadis | Radiology | 1801 S 5th St Ste 215, Mcallen, TX 78503-2932 | 2007-12-19 |
1659448967 | Giovanni G Millare | Radiology | 226 Red Hawk Rdg, San Antonio, TX 78258-4866 | 2006-11-29 |
1750398236 | Kenneth Dean Williams | Radiology | Dept Radiology Scott & White, 2401 S 31st Street, Temple, TX 76508-0001 | 2006-08-01 |
1821029224 | Central Tx Radiology & Spine Consultants Pa | Radiology | 4316 James Casey St Ste E1, Austin, TX 78745-1157 | 2006-07-05 |
1578591616 | Robert Nick Bryan | Radiology | 1701 Trinity Street, Dell Medical School, Austin, TX 78712-1845 | 2006-06-29 |
1558308387 | Lester Paul Gerson | Radiology | 9802 Fm 1960 Bypass Rd W, Suite 245, Humble, TX 77338-3501 | 2006-06-01 |
1841255668 | Thomas Varghese | Radiology | 15655 Cypress Wood Medical Dr Ste 100, Houston, TX 77014-1487 | 2006-04-18 |
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.