Active NPI
Pediatric Associates of Tyler
- Pediatrics Physician
- Tyler, TX
National Provider Identifier
1346460821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- PEDIATRIC ASSOCIATES OF TYLER
- Practice address
- 1130 Doctors Dr
Tyler, TX 75701-2123 - Phone
- (903) 592-2122
- Fax
- (903) 595-2280
- NPI assigned
- Apr 26, 2007
- Last updated
- Aug 22, 2020
- 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. William Dela Rishel, M.D.
- Title
- Owner
- Phone
- (903) 592-2122
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | TX | Primary |
Addresses
Primary practice location
1130 Doctors Dr
Tyler, TX 75701-2123
Mailing address
1130 Doctors Dr
Tyler, TX 75701-2123
Phone (903) 592-2122
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pediatrics Physician
- Tyler, TX
- NPI 1356445647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1346460821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 DOCTORS DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012123",
"telephone_number": "903-592-2122",
"fax_number": "903-595-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 DOCTORS DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757012123",
"telephone_number": "903-592-2122",
"fax_number": "903-595-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC ASSOCIATES OF TYLER",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RISHEL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "DELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-592-2122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.