Organization Active NPI

Womens Total Care of East Texas

  • Critical Care Medicine (Obstetrics & Gynecology) Physician
  • Tyler, TX
National Provider Identifier
1326018656
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VC0200X
License
J6274 Issued in TX
Legal business name
WOMENS TOTAL CARE OF EAST TEXAS
Practice address
837 S Fleishel Ave
Tyler, TX 75701-2017
Phone
(903) 939-2273
Fax
(903) 581-2137
NPI assigned
Jan 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Dr. James Louis Wasson, MDNPI 1598736829
Title
Owner
Phone
(903) 939-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X J6274 TX
Critical Care Medicine (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VC0200X J6274 TX Primary
Reproductive Endocrinology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VE0102X J6274 TX
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X J6274 TX
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X J6274 TX
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X J6274 TX
Gynecologic Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0201X J6274 TX
Bone Densitometry Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471B0102X J6274 TX
Sonography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471S1302X J6274 TX
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X J6274 TX
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X J6274 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X J6274 TX
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X J6274 TX
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X J6274 TX
Women's Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SW0102X J6274 TX

Addresses

Primary practice location

837 S Fleishel Ave
Tyler, TX 75701-2017

Mailing address

837 S Fleishel Ave
Tyler, TX 75701-2017
Phone (903) 939-2273

Other identifiers 3

IdentifierTypeStateIssuer
155813201MedicaidTX
0025HZOtherBLUE CROSS & BLUE SHIELD
DG6694OtherTXRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000827 TX Part B Supplier - Clinic/Group Practice 5597754861 Receives reassigned benefits from 1 practitioner
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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0889521Womens Total Care of East Texas837 S Fleishel Ave, Tyler, TX 75701Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

Locations

914 S Bolton St
Jacksonville, TX 75766
Phone (903) 586-2207

649 S Broadway Ave
Ste 2
Tyler, TX 75701
Phone (903) 586-2207

6004 S Broadway Ave
Ste 201
Tyler, TX 75703
Phone (903) 939-2273

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1326018656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012017",
            "telephone_number": "903-939-2273",
            "fax_number": "903-581-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012017",
            "telephone_number": "903-939-2273",
            "fax_number": "903-581-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS TOTAL CARE OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-939-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "TX",
            "license": "J6274",
            "primary": true
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "2471B0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6274",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "TX",
            "license": "J6274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155813201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "0025HZ",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG6694",
            "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 Sep 27, 2023; 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.