Seniorrounds Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SENIORROUNDS MEDICAL, LLC

Practice address

1910 Roseland Blvd
Tyler, TX 75701-4246

Phone

(903) 617-2626

Fax

(903) 617-2626

NPI assigned

Nov 27, 2024

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Adam Wilson

Title

Credentialing Manager

Phone

(817) 886-4455

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Thomas M Buzbee Jr., M.D.

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1770682619
  NPD
• Anthony Dewayne Davis, M.D.

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1962446898
  NPD
• Marco Antonio Peterson Jr., M.D., M.S.

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1881058709
  NPD

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1437975075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-617-2626",
            "fax_number": "903-617-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROSELAND BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014246",
            "telephone_number": "903-617-2626",
            "fax_number": "903-617-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORROUNDS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "817-886-4455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laramie C Selman, LPC
• James S Selvidge, CCP
• Bryan Sendelbach, D.D.S.
• Senior Management Services of Tyler Inc (Greenbrier Nursing & Rehabilitation Center)
• Senior Suite Care & Rehab LLC (The Melrose)
• Ashley Senoski
• Stephen M Sepulveda, MD
• Karmen Lynn Serda, FNP- C
• Serenity Connections Counseling, PLLC
• Jose Augusto Serpa-Alvarez, MD

• Family Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.