NPIMap

Organization Active NPI

Novamed Surgery Center of Tyler, LP

Doing business as Cataract Center of East Texas

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
National Provider Identifier
1083606867
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
007870 Issued in TX
Legal business name
NOVAMED SURGERY CENTER OF TYLER, LP
Doing business as
Cataract Center of East Texas
Practice address
802 Turtle Creek Dr
Tyler, TX 75701
Phone
(903) 595-4333
Fax
(903) 535-9845
NPI assigned
Aug 18, 2005
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
NOVAMED, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Scott Macomber
Title
Evp of the Manager
Phone
(312) 664-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 007870 TX Primary

Addresses

Primary practice location

802 Turtle Creek Dr
Tyler, TX 75701

Mailing address

802 Turtle Creek Dr
Tyler, TX 75701-1900
Phone (903) 595-4333

Other names 1

  • Cataract Center of East Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070922000247 TX Part B Supplier - Ambulatory Surgical Center 9537253414 Practice locations: Tyler, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cataract Ctr of East TXCCN 45C0001032
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cataract Center of East Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1204 Reliable Pkwy
Chicago, IL 60686

861204 Reliable Pkwy
Chicago, IL 60686

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1083606867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011900",
            "telephone_number": "903-595-4333",
            "fax_number": "903-535-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-595-4333",
            "fax_number": "903-535-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF TYLER, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVAMED, INC.",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EVP OF THE MANAGER",
        "authorized_official_telephone_number": "312-664-4100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract Center of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.