Active NPI
James R. Motlagh, M.D., P.a.
- Plastic Surgery Physician
- Tyler, TX
National Provider Identifier
1598830341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- L4071
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A1039 | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Tyler Plastic Surgery
National Provider Directory
National Provider DirectoryNPI 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.