Organization Active NPI

Li-Yu Huang Mitchell MD PA

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1487809570
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LI-YU HUANG MITCHELL MD PA
Practice address
833 S Beckham Ave
Tyler, TX 75701-1905
Phone
(903) 780-5655
NPI assigned
Nov 18, 2008
Last updated
Nov 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Li-Yu Huang Mitchell, MDNPI 1962432559
Title
Owner
Phone
(903) 780-5655

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
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

833 S Beckham Ave
Tyler, TX 75701-1905

Mailing address

PO Box 7204
Tyler, TX 75711-7204
Phone (903) 780-5655

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090115000131 TX Part B Supplier - Clinic/Group Practice 6204999337 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX

National Provider Directory

National Provider Directory

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1487809570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7204",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757117204",
            "telephone_number": "903-780-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011905",
            "telephone_number": "903-780-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI-YU HUANG MITCHELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LI-YU",
        "authorized_official_middle_name": "HUANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-780-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "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 Nov 18, 2008; 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.