Tyler Hematology Oncology, P.a.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

TYLER HEMATOLOGY ONCOLOGY, P.A.

Practice address

721 Clinic Dr
Ste a
Tyler, TX 75701-2043

Phone

(903) 592-6152

Fax

(903) 526-0629

NPI assigned

May 31, 2005

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fred Ernest

Title

Administrator

Phone

(903) 593-8264

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cade Wesley Clark, MD

  • Hematology & Oncology Physician
  • Tyler, TX
  • NPI 1679061907
  NPD (past)
• Mary E Peterson, NP

  • Nurse Practitioner
  • Austin, TX
  • NPI 1174791115
  NPD (past)
• Erminia Massarelli, MD

  • Medical Oncology Physician
  • Duarte, CA
  • NPI 1982855326
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1023011491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 CLINIC DR",
            "address_2": "STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012043",
            "telephone_number": "903-592-6152",
            "fax_number": "903-526-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLINIC DR",
            "address_2": "STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012043",
            "telephone_number": "903-592-6152",
            "fax_number": "903-526-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER HEMATOLOGY ONCOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "ERNEST",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-593-8264",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106291101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045835803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102771601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130290303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161891001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705592-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095058601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Family Circle of Care (Family Circle of Care)
• Tyler Family Circle of Care
• Tyler Family Circle of Care (Family Circle of Care)
• Tyler Family Counseling, PLLC
• Tyler Group Health, LLC
• Tyler Hospitalists, P.a.
• Tyler I Enterprises, LLC (The Fountains of Tyler)
• Tyler Independent School District
• Tyler Inpatient Management Specialists, PA
• Tyler Integrated Physical Therapy, LLC

• Hematology & Oncology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.