Jeffrey Gilroy MD PA

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

Q0444 Issued in TX

Legal business name

JEFFREY GILROY MD PA

Practice address

721 Clinic Dr
Tyler, TX 75701-2043

Phone

(903) 595-5550

Fax

(903) 535-6887

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey Gilroy, MD

Title

Owner/Physician

Phone

(903) 752-8710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1013372010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2060",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757102060",
            "telephone_number": "877-839-9517",
            "fax_number": "903-531-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012043",
            "telephone_number": "903-595-5550",
            "fax_number": "903-535-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY GILROY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "GILROY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "903-752-8710",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "TX",
            "license": "Q0444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JDG Provider Services LLC
• John Glynn Jeansonne, CRNA
• Christen Taylor Jefcoat-Ferriss, LPC
• Alysen Jefferson, SLP-ASSISTANT
• Kiara Jefferson
• Jeffrey N Bowman DPM PC
• Tanya R Jeffries
• Marshall Scott Jelden, ATC, LAT
• Jencare
• Alexandra Steele Jenkins, MD

• Therapeutic Radiology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Therapeutic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.