Neuro Ir of East Texas

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

Legal business name

NEURO IR OF EAST TEXAS

Practice address

700 Olympic Plaza Cir Ste 910
Tyler, TX 75701-1915

Phone

(903) 705-0072

Fax

(903) 705-0068

NPI assigned

Oct 3, 2017

Last updated

Nov 4, 2023By 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

Michelle Black

Title

Practice Administrator

Phone

(903) 705-0072

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

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.

• Kurt Stephen Reuland, M.D.

  • Vascular & Interventional Radiology Physician
  • Tyler, TX
  • NPI 1063472579

  Neuroradiology

  Medicare reassignment Care Compare group NPD
• Gary R. Spiegel, M.D.

  • Vascular & Interventional Radiology Physician
  • Tyler, TX
  • NPI 1568448785

  Neuroradiology

  Medicare reassignment Care Compare group NPD
• Michael David Williams, M.D.

  • Vascular & Interventional Radiology Physician
  • Tyler, TX
  • NPI 1083669246

  Neuroradiology

  Medicare reassignment Care Compare group NPD
• Eryn Hunter, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1316573751
  Medicare reassignment
• Christina Ann Tinkler, P.A.

  • Physician Assistant
  • Tyler, TX
  • NPI 1073515169
  Medicare reassignment
• Jimmy S Ghostine, MD, DABR, FRCPC

  • Neuroradiology Physician
  • Aventura, FL
  • NPI 1134245210
  NPD

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699056000000",
    "number": "1508376716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 910",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011915",
            "telephone_number": "903-705-0072",
            "fax_number": "903-705-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 910",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011915",
            "telephone_number": "903-705-0072",
            "fax_number": "903-705-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO IR OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2023-11-04",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "903-705-0072"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalia Ezzat Nessim, MD
• Nethc, LLC (Right at Home of Northeast Texas)
• Nethclv, Inc (NorthStar Navigators)
• Tamara Neuenschwander, PMHNP
• Neuro Diagnostics LLC
• Neurodiagnostic Tex, LLC
• Neurodiagnostics Tex Inc
• Neurology Associates of Tyler, P.a.
• Neurotex Equipment & Supply
• New Columbian Optical Company (Payless Optical)

• Neuroradiology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Neuroradiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; 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.