Wayne E Hostetler MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WAYNE E HOSTETLER MD PA

Practice address

1312 Doctors Dr
Tyler, TX 75701-2262

Phone

(903) 526-4350

Fax

(800) 580-1493

NPI assigned

Dec 11, 2007

Organization subpart

No

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

Authorized official

Name

Wayne E Hostetler Jr., M.D.

Title

Owner

Phone

(903) 526-4350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rose City Neurology Doing business as

Locations

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1265615439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-526-4350",
            "fax_number": "800-580-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012262",
            "telephone_number": "903-526-4350",
            "fax_number": "800-580-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE E HOSTETLER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "HOSTETLER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-526-4350",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163702701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rose City Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Watson
• Michael Gary Watson, APRN, FNP-BC
• Joseph Ray Watt, MS
• Adam Brent Watters, CRNA
• Scott G Watts, CCP
• Wayne D Wayt, PAC
• Baileigh Weatherford
• Taylor Brown Weathers, RN
• Ava N. Weaver, M.S, NCC,LPC
• Hanna Weaver

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.