Active NPI
James P Michaels MD PA
- Interventional Pain Medicine Physician
- Tyler, TX
National Provider Identifier
1205053329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- K0525
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049KV | Other | TX | BLUE CROSS BLUE SHIELD |
| 165794201 | Medicaid | TX | |
| P00083929 | Other | RAILROAD MEDICARE INDIVIDUAL | |
| DB0396 | Other | TX | RAILROAD MEDICARE GROUP |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Interventional Pain Medicine Physician
- Tyler, TX
- NPI 1013937556
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.