Active NPI
David King Fletcher, MD
- Interventional Pain Medicine Physician
- Tyler, TX
National Provider Identifier
1144242348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- C8971
- Practice address
- 816 S Fleishel Ave
Tyler, TX 75701-2016 - Phone
- (903) 592-2999
- Fax
- (903) 593-5190
- NPI assigned
- Jul 24, 2006
- Last updated
- Apr 30, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | C8971 | TX | Primary |
Addresses
Primary practice location
816 S Fleishel Ave
Tyler, TX 75701-2016
Mailing address
816 S Fleishel Ave
Tyler, TX 75701-2016
Phone (903) 592-2999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0036KV | Other | TX | BLUE CROSS GROUP NUMBER |
| 115069004 | Medicaid | TX | |
| P00063511 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Hearing Center LLC Lxxiig | Past | Accepting new patients | |
| David K Fletcher MD PA | Interventional Pain Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Tyler, TX
- NPI 1396962494
-
- Otolaryngology Physician
- Tyler, TX
- NPI 1235209370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1144242348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012016",
"telephone_number": "903-592-2999",
"fax_number": "903-593-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012016",
"telephone_number": "903-592-2999",
"fax_number": "903-593-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "DAVID",
"middle_name": "KING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": "C8971",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GROUP NUMBER",
"identifier": "0036KV",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115069004",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00063511",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.