Active NPI
Womens Total Care of East Texas
- Critical Care Medicine (Obstetrics & Gynecology) Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Obstetrics & Gynecology) Physician
- License
- J6274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Louis Wasson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J6274 | TX | |
| Critical Care Medicine (Obstetrics & Gynecology) Physician | 207VC0200X | J6274 | TX | Primary |
| Reproductive Endocrinology Physician | 207VE0102X | J6274 | TX | |
| Gynecology Physician | 207VG0400X | J6274 | TX | |
| Maternal & Fetal Medicine Physician | 207VM0101X | J6274 | TX | |
| Obstetrics Physician | 207VX0000X | J6274 | TX | |
| Gynecologic Oncology Physician | 207VX0201X | J6274 | TX | |
| Bone Densitometry Radiologic Technologist | 2471B0102X | J6274 | TX | |
| Sonography Radiologic Technologist | 2471S1302X | J6274 | TX | |
| Nurse Practitioner | 363L00000X | J6274 | TX | |
| Adult Health Nurse Practitioner | 363LA2200X | J6274 | TX | |
| Family Nurse Practitioner | 363LF0000X | J6274 | TX | |
| Primary Care Nurse Practitioner | 363LP2300X | J6274 | TX | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | J6274 | TX | |
| Women's Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155813201 | Medicaid | TX | |
| 0025HZ | Other | BLUE CROSS & BLUE SHIELD | |
| DG6694 | Other | TX | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0889521 | Womens Total Care of East Texas | Certificate of waiver | Mar 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Tyler, TX
- NPI 1598736829
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.