Individual provider Active NPI

Thomas Alexander Jr Services

  • Vascular Sonography Radiologic Technologist
  • Tyler, TX
National Provider Identifier
1619905502
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
Practice address
700 Olympic Plaza Cir Ste 850
Southwestern Cerebral Circulatory Dynamics
Tyler, TX 75701-1955
Phone
(903) 592-8685
Fax
(903) 597-3129
NPI assigned
Jun 29, 2006
Last updated
May 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X
Vascular Sonography Radiologic Technologist 2471V0105X Primary

Addresses

Primary practice location

700 Olympic Plaza Cir Ste 850
Southwestern Cerebral Circulatory Dynamics
Tyler, TX 75701-1955

Mailing address

PO Box 6813
Tyler, TX 75711-6813
Phone (903) 592-8685

Other identifiers 3

IdentifierTypeStateIssuer
0036DCOtherTXBCBS
0037DCOtherTXBCBS
0035DCOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Howard Alexander Jr Physiological Laboratory Past Accepting new patients
Thomas H Alexander Jr Services Vascular Sonography Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1619905502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6813",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116813",
            "telephone_number": "903-592-8685",
            "fax_number": "903-597-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLYMPIC PLAZA CIR STE 850",
            "address_2": "SOUTHWESTERN CEREBRAL CIRCULATORY DYNAMICS",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011955",
            "telephone_number": "903-592-8685",
            "fax_number": "903-597-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER JR SERVICES",
        "first_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036DC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0037DC",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0035DC",
            "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 May 5, 2009; 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.