Organization Active NPI

Tyler Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Tyler, TX
National Provider Identifier
1275836561
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TYLER PROSTHETICS INC
Practice address
701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone
(903) 595-2600
Fax
(903) 595-2604
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Jamie McPherson
Title
Practitioner in Charge
Phone
(903) 316-3171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 101350 TX
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

701 Turtle Creek Dr
Tyler, TX 75701-1834

Mailing address

701 Turtle Creek Dr
Tyler, TX 75701-1834
Phone (903) 595-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110808000271 TX DME Supplier - Prosthetic Personnel 6305015447 Practice locations: Tyler, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tyler Prosthetics, Inc.701 Turtle Creek Dr, Tyler, TX 75701-1834(903) 595-2600 Limb Prostheses Accepts assignmentParticipating since Jun 16, 2011

National Provider Directory

National Provider Directory

Locations

701 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-2229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1275836561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2600",
            "fax_number": "903-595-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011834",
            "telephone_number": "903-595-2600",
            "fax_number": "903-595-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRACTITIONER IN CHARGE",
        "authorized_official_telephone_number": "903-316-3171"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "101350",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 2, 2025; 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.