TRACY BYERLY II , MD PA (NPI# 1689142127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689142127 |
| Entity Type | Organization |
| Organization Name | TRACY BYERLY II , MD PA |
| Practice Address |
205 W Windcrest St Ste 210 Fredericksburg TX 78624-4480 |
| Mailing Address |
1217 Virginia Dr Kerrville TX 78028-4019 |
| Practice Telephone | 8309974000 |
| Practice Fax Number | 8309972028 |
| Mailing Telephone | 8309974000 |
| Mailing Fax Number | 8309972028 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | KATIE LEE (BILLER/SURGERY SCHEDULER) |
| Authorized Official Telephone | 8309974000 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRACY BYERLY II, MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 1427354208 | 01 |
| Other Name | Type Code |
|---|---|
| Fredericksburg ENT | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1331 Bandera Hwy Ste 1, Kerrville, TX 780289535 | 8309974000 | 8309972028 |
| Street Address |
205 W WINDCREST ST STE 210 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-4480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386696581 | Carrie Novak Culpepper | Nurse Practitioner | 205 W Windcrest St Ste 210, Fredericksburg, TX 78624-4480 | 2006-05-16 |
| 1427354208 | Tracy Allen Byerly II | Otolaryngology | 205 W Windcrest St Ste 210, Fredericksburg, TX 78624-4480 | 2011-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295693 | Wild: Women and Infants Long-term Development, LLC | Clinic/Center | 1003 Mahone St, Fredericksburg, VA 22401-6214 | 2020-04-30 |
| 1124304894 | Centre Pointe Health- Psychiatric Services | Clinic/Center | 3920 Plank Rd, Suite 120, Fredericksburg, VA 22407-7104 | 2011-10-26 |
| 1023396892 | Fredericksburg Area Regional Health Council | Clinic/Center | 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 | 2011-07-28 |
| 1285968701 | Fredericksburg Women's Health Associates | Clinic/Center | 1300 Hospital Dr, Suite 300, Fredericksburg, VA 22401-3375 | 2009-09-30 |
| 1497991830 | Lee R Brock Md | Clinic/Center | 4304 Lafayette Blvd, Fredericksburg, VA 22408-4234 | 2009-01-06 |
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| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
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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.