Organization Active NPI

James R. Motlagh, M.D., P.a.

  • Plastic Surgery Physician
  • Tyler, TX
National Provider Identifier
1598830341
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
L4071 Issued in TX
Legal business name
JAMES R. MOTLAGH, M.D., P.A.
Practice address
700 Olympic Plaza Circle
Ste 420
Tyler, TX 75701
Phone
(903) 526-2500
Fax
(903) 526-2535
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
James R. Motlagh, M.D.
Title
President
Phone
(903) 526-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X L4071 TX Primary

Addresses

Primary practice location

700 Olympic Plaza Circle
Ste 420
Tyler, TX 75701

Mailing address

700 Olympic Plaza Circle
Ste 420
Tyler, TX 75701
Phone (903) 526-2500

Other identifiers 1

IdentifierTypeStateIssuer
8A1039OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Tyler Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1598830341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIRCLE",
            "address_2": "STE 420",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-526-2500",
            "fax_number": "903-526-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIRCLE",
            "address_2": "STE 420",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-526-2500",
            "fax_number": "903-526-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R. MOTLAGH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "MOTLAGH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-526-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8A1039",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyler Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 9, 2011; 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.