Wayne E Hostetler MD PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WAYNE E HOSTETLER MD PA

Doing business as

Rose City Neurology

Practice address

1312 Doctors Dr
Tyler, TX 75701-2262

Phone

(903) 526-4350

Fax

(800) 580-1493

NPI assigned

Dec 11, 2007

Last updated

Sep 9, 2010By 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

Wayne E Hostetler Jr., M.D.NPI 1487649844

Title

Owner

Phone

(903) 526-4350

Specialties & licenses 1

Addresses

Other names 1

• Rose City Neurology Doing business as

Locations

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.

• Wayne E Hostetler, MD

  • Neurology Physician
  • Tyler, TX
  • NPI 1487649844
  Authorized official Same address or phone

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": [],
    "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.