Organization Active NPI

Circulatory Dynamics, Inc.

  • Perfusionist
  • Tyler, TX
National Provider Identifier
1003042458
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Legal business name
CIRCULATORY DYNAMICS, INC.
Practice address
312 E Houston St
Tyler, TX 75702-8218
Phone
(480) 777-0607
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara W Parker
Title
Billing Manager
Phone
(480) 777-0607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PerfusionistGroup: 193400000X SINGLE SPECIALTY GROUP 242T00000X Primary

Addresses

Primary practice location

312 E Houston St
Tyler, TX 75702-8218

Mailing address

312 E Houston St
Tyler, TX 75702-8218

National Provider Directory

National Provider Directory

Locations

312 E Houston St
Tyler, TX 75702
Phone (903) 535-5011

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1003042458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028218",
            "telephone_number": "480-777-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCULATORY DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "480-777-0607"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.