Organization Active NPI

Neurology Associates of Tyler, P.a.

  • Neurology Physician
  • Tyler, TX
National Provider Identifier
1407117922
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
J6783 Issued in TX
Legal business name
NEUROLOGY ASSOCIATES OF TYLER, P.A.
Practice address
312 E 5TH St
Tyler, TX 75701-4225
Phone
(903) 595-6789
Fax
(903) 595-6973
NPI assigned
May 31, 2012
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Richard Darnell Tyer, M.D.NPI 1043238546
Title
President
Phone
(903) 595-6789

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X J6783 TX Primary

Addresses

Primary practice location

312 E 5TH St
Tyler, TX 75701-4225

Mailing address

312 E 5TH St
Tyler, TX 75701-4225
Phone (903) 595-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120614000779 TX Part B Supplier - Clinic/Group Practice 7517121999 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

Locations

312 E 5th St
Tyler, TX 75701
Phone (903) 595-6789

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1407117922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-595-6789",
            "fax_number": "903-595-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014225",
            "telephone_number": "903-595-6789",
            "fax_number": "903-595-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF TYLER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "TYER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-595-6789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "J6783",
            "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 May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.