Active NPI
Eric Jeffrey La Voy, M.D.
- Family Medicine Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R0054
- Practice address
- 3953 E Grande Blvd
Tyler, TX 75707-1401 - Phone
- (903) 839-2585
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R0054 | TX | Primary |
| Family Medicine Physician | 207Q00000X | R-9539 | IA |
Addresses
Primary practice location
3953 E Grande Blvd
Tyler, TX 75707-1401
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
5414 S Broadway Ave
Tyler, TX 75703-1335
Phone (903) 581-1601
Other practice location 2
3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000
Other practice location 3
1339 S Broadway St
Sulphur Springs, TX 75482-4895
Phone (903) 951-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8GM862 | Other | TX | BCBS |
| P01812204 | Other | TX | RAIL ROAD MEDICARE |
| 75-2616977-129 | Other | TX | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3593 E Grande Blvd
Christus Trinity Clinic
Tyler, TX 75707-1400
Phone (903) 839-2585
5414 S Broadway Ave
Christus Mother Frances Hospital
Tyler, TX 75703-1335
Phone (903) 531-5010
800 E Dawson St
Tyler, TX 75701-2036
Hospital & facility affiliations
- Christus Mother Frances Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-9539 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Family Medicine | Current | Accepting new patients |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Trinity Clinic | Family Medicine | Past | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
1339 S Broadway St
Sulphur Springs, TX 75482
Phone (903) 951-1000
5414 S Broadway Ave
Tyler, TX 75703
Phone (903) 581-1601
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
3593 E Grande Blvd
Tyler, TX 75707
Phone (903) 606-1664
Interoperability endpoints
- elavoy140663@christushealth.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1508120239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3953 E GRANDE BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757071401",
"telephone_number": "903-839-2585"
}
],
"practiceLocations": [
{
"address_1": "5414 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757031335",
"country_code": "US",
"telephone_number": "903-581-1601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3203 S Main St",
"address_purpose": "LOCATION",
"city": "Lindale",
"state": "TX",
"postal_code": "757717727",
"country_code": "US",
"telephone_number": "903-266-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1339 S Broadway St",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754824895",
"country_code": "US",
"telephone_number": "903-951-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LA VOY",
"first_name": "ERIC",
"middle_name": "JEFFREY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "R0054",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-9539",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8GM862",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P01812204",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-129",
"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 Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.