Tyler Regional Hospital LLC

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

TYLER REGIONAL HOSPITAL LLC

Practice address

1000 S Beckham Ave
Tyler, TX 75701-1908

Phone

(903) 597-0351

Fax

(903) 535-6334

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Stephen C. Petrovich

Title

Evp

Phone

(615) 296-3000

Specialties & licenses 1

Addresses

Other names 1

• UT Health East Texas Tyler Regional Hospital Doing business as

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521158400000",
    "number": "1063915916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BURTON HILLS BLVD STE 250",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156195",
            "telephone_number": "615-296-3000",
            "fax_number": "615-296-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-597-0351",
            "fax_number": "903-535-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER REGIONAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UT Health East Texas Tyler Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Prosthetics Inc
• Tyler Psychology Group LLP
• Tyler Radiology Associates
• Tyler Radiology Associates PA
• Tyler Rdspd
• Tyler Regional Hospital LLC
• Tyler Regional Hospital LLC
• Tyler Rehab Associates, L.P.
• Tyler Speech Improvement Services
• Tyler Texas Emergency Center, LLC

• Trauma Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Trauma Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.