Organization Active NPI

James P Michaels MD PA

  • Interventional Pain Medicine Physician
  • Tyler, TX
National Provider Identifier
1205053329
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
K0525 Issued in TX
Legal business name
JAMES P MICHAELS MD PA
Practice address
1814 Roseland Blvd
Suite 300
Tyler, TX 75701-4234
Phone
(903) 597-2508
Fax
(903) 535-2914
NPI assigned
Apr 19, 2007
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Francene Bell, R.N. CMOM
Title
Practice MGR.
Phone
(903) 597-2508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X K0525 TX Primary

Addresses

Primary practice location

1814 Roseland Blvd
Suite 300
Tyler, TX 75701-4234

Mailing address

1814 Roseland Blvd
Suite 300
Tyler, TX 75701-4234
Phone (903) 597-2508

Other identifiers 4

IdentifierTypeStateIssuer
0049KVOtherTXBLUE CROSS BLUE SHIELD
165794201MedicaidTX
P00083929OtherRAILROAD MEDICARE INDIVIDUAL
DB0396OtherTXRAILROAD MEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

1814 Roseland Blvd
Ste 300
Tyler, TX 75701
Phone (903) 597-2508

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1205053329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "address_2": "SUITE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "903-597-2508",
            "fax_number": "903-535-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 ROSELAND BLVD",
            "address_2": "SUITE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014234",
            "telephone_number": "903-597-2508",
            "fax_number": "903-535-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P MICHAELS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "FRANCENE",
        "authorized_official_title_or_position": "PRACTICE MGR.",
        "authorized_official_telephone_number": "903-597-2508",
        "authorized_official_credential": "R.N. CMOM"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "K0525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0049KV",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165794201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVIDUAL",
            "identifier": "P00083929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DB0396",
            "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 Jan 18, 2011; 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.