Texas Arthritis and Rheumatology

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

TEXAS ARTHRITIS AND RHEUMATOLOGY

Practice address

5777 New Copeland Rd
Suite 100
Tyler, TX 75703

Phone

(903) 561-9255

Fax

(903) 561-0034

NPI assigned

May 21, 2006

Last updated

Nov 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glen S Graves, MDNPI 1689648040

Title

Manager

Phone

(903) 561-9255

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Glen S Graves, MD

  • Rheumatology Physician
  • Tyler, TX
  • NPI 1689648040
  Medicare reassignment Care Compare group NPD Authorized official
• Luis E Vasquez, MD

  • Rheumatology Physician
  • Tyler, TX
  • NPI 1366417388
  Medicare reassignment Care Compare group NPD
• Megan Renee Followwell, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1053537274
  Medicare reassignment Care Compare group
• Taryn Hope, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1457587933
  Medicare reassignment Care Compare group
• Scott Alan Phillips, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1669722393
  Medicare reassignment Care Compare group
• Lauren Christine Nicholson, BSN, RN, CRNI

  • Infusion Therapy Registered Nurse
  • Tyler, TX
  • NPI 1487289690
  NPD (past)

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

{
    "created_epoch": "1148169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1225082308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 NEW COPELAND RD",
            "address_2": "SUITE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-561-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 NEW COPELAND RD",
            "address_2": "SUITE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-561-9255",
            "fax_number": "903-561-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ARTHRITIS AND RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-21",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-561-9255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Terry, RN
• Vartiter Terzian-Green, LMT
• Paul Jerome Teska, LPC
• Jacquelyn Suzette Tesseneer, LPC-A
• Kimberly Ann Testa, PT
• Texas Forward Visions, I. P.C.
• Texas Health Care Group of Longview, LLC (Tyler HomeCare)
• Texas Oncology, P.a.
• Texas Palliative Care
• Texas Physical Therapy Services of Tyler, LLC (Texas Physical Therapy Services of Tyler)

• Rheumatology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.