Organization Active NPI

Steve E Rowley DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Tyler, TX
National Provider Identifier
1336328863
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
F1955TX Issued in TX
Legal business name
STEVE E ROWLEY DO PA
Practice address
455 Rice Rd Ste 112
Tyler, TX 75703-3604
Phone
(903) 534-4805
Fax
(903) 939-8419
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Steve E Rowley, DOPA
Title
Owner
Phone
(903) 534-4805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X F1955TX TX Primary

Addresses

Primary practice location

455 Rice Rd Ste 112
Tyler, TX 75703-3604

Mailing address

455 Rice Rd Ste 112
Tyler, TX 75703-3604
Phone (903) 534-4805

Other identifiers 1

IdentifierTypeStateIssuer
079954601MedicaidTX

Other names 1

  • LONG TERM CARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

4828 S Broadway Ave
#137
Tyler, TX 75703

455 Rice Rd
Ste 112
Tyler, TX 75703
Phone (903) 415-5757

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1336328863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 RICE RD STE 112",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033604",
            "telephone_number": "903-534-4805",
            "fax_number": "903-939-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 RICE RD STE 112",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033604",
            "telephone_number": "903-534-4805",
            "fax_number": "903-939-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE E ROWLEY DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-534-4805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOPA"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "F1955TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079954601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONG TERM CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 10, 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.