David K Fletcher MD PA

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

C8971 Issued in TX

Legal business name

DAVID K FLETCHER MD PA

Practice address

816 S Fleishel Ave
Tyler, TX 75701-2016

Phone

(903) 592-2999

Fax

(903) 593-5190

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Francene Bell, R.N. CMOM

Title

Office MGR

Phone

(903) 592-2999

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David King Fletcher, MD

  • Interventional Pain Medicine Physician
  • Tyler, TX
  • NPI 1144242348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1396962494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012016",
            "telephone_number": "903-592-2999",
            "fax_number": "903-593-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012016",
            "telephone_number": "903-592-2999",
            "fax_number": "903-593-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K FLETCHER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "FRANCENE",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "903-592-2999",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N. CMOM"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "C8971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161781301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0036KV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DA5689",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE INDIVIDUAL",
            "identifier": "P00063511",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Daughtry, LCSW
• David Davault
• Laura Beth Davenport, FNP-C
• David a. Andreone DPM PLLC
• David a. Wilkinson DDS MSD, P.a.
• David W Ball MD Internal Medicine PLLC
• Julie Kathryn David, LPC
• Peggy J Davidson, CRNP
• Randy Davidson, PHARM.D.
• Ashley Marie Davis, M.A. LPC

• Interventional Pain Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.