NPIMap

Individual provider Active NPI

Joe Gilbert Valdez Jr., M.D.

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1104810779
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M0628 Issued in TX
Practice address
800 E Dawson St
Tyler, TX 75701-2036
Phone
(903) 531-5788
Fax
(903) 525-1568
NPI assigned
Sep 9, 2005
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M0628 TX Primary

Addresses

Primary practice location

800 E Dawson St
Tyler, TX 75701-2036

Mailing address

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 531-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050504000179 TX Practitioner - Family PracticePractitioner - Undersea and Hyperbaric Medicine 1254371735 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Undersea and Hyperbaric Medicine
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Quitman Hospital LLCGroup PAC ID 9133484330, 29 clinicians

Practice addresses (Care Compare)

117 N Winnsboro St
Quitman, TX 75783-2144
Phone (903) 763-6220

15214 County Rd
Suite 434
Lindale, TX 75771-5103
Phone (903) 780-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M0628TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 3, 2018 Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Aug 30, 2016 Accepting new patients
Quitman Hospital LLC CurrentSince Mar 1, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 3, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince May 1, 2016 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Quitman Hospital LLC CurrentSince Mar 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 30, 2016 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Sound Inpatient Physicians of Texas I, Inc Family Medicine Current Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Aug 13, 2016 Accepting new patients
East Texas Medical Center Mount Vernon Past Accepting new patients
Premier Provider Health PA Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Stratford Hospital District Past Accepting new patients
Stratford Hospital District Past Accepting new patients
Quitman Hospital LLC Past Accepting new patients

Locations

340 Seven Springs Way
Ste 100
Brentwood, TN 37027
Phone (615) 296-3000

764 W Commerce St
Fairfield, TX 75840
Phone (903) 389-2181

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

100 Municipal Dr
Ste 300
Gun Barrel City, TX 75156
Phone (903) 713-1500

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

220 E Ash St
Huntington, TX 75949
Phone (888) 316-5498

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

117 N Winnsboro St
Quitman, TX 75783
Phone (903) 763-4505

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

105 Medical Plz
Sulphur Springs, TX 75482
Phone (903) 885-3181

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

912 S Fleishel Ave
Tyler, TX 75701
Phone 90359269011811

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

Interoperability endpoints

  • Direct secure messaging: jvaldez355086@ahs.direct-ci.com
  • Direct secure messaging: jvaldez7492@christushealth.direct-ci.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1104810779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-531-5788",
            "fax_number": "903-525-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DAWSON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012036",
            "telephone_number": "903-531-5788",
            "fax_number": "903-525-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ",
        "first_name": "JOE",
        "middle_name": "GILBERT",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M0628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.