Active NPI
Pulmonary Specialists of Tyler PA
- Pulmonary Disease Physician
- Tyler, TX
National Provider Identifier
1386758902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- PULMONARY SPECIALISTS OF TYLER PA
- Practice address
- 912 S Fleishel Ave
Tyler, TX 75701-2018 - Phone
- (903) 592-6901
- NPI assigned
- Aug 19, 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. David I Jones, M.D.
- Title
- Partner
- Phone
- (903) 592-6901
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | |||
| Internal Medicine Physician | 207R00000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
912 S Fleishel Ave
Tyler, TX 75701-2018
Mailing address
912 S Fleishel Ave
Tyler, TX 75701-2018
Phone (903) 592-6901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094796203 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
117 Medical Cir
Athens, TX 75751
Phone (903) 676-3200
912 S Fleishel Ave
Tyler, TX 75701
Phone 90359269011811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Round Rock, TX
- NPI 1548268501
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431907200000",
"number": "1386758902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012018",
"telephone_number": "903-592-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012018",
"telephone_number": "903-592-6901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY SPECIALISTS OF TYLER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2015-05-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "903-592-6901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094796203",
"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 May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.