Individual provider Active NPI

Tuesday L Chadwick, MD

  • Obstetrics & Gynecology Physician
  • Paris, TX
National Provider Identifier
1649277286
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L1815 Issued in TX
Practice address
2870 Lewis LN
Ste 218
Paris, TX 75460-9380
Phone
(903) 785-6448
Fax
(903) 785-6498
NPI assigned
Jun 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L1815 TX Primary

Addresses

Primary practice location

2870 Lewis LN
Ste 218
Paris, TX 75460-9380

Mailing address

2870 Lewis LN
Ste 218
Paris, TX 75460-9380
Phone (903) 785-6448

Other identifiers 3

IdentifierTypeStateIssuer
0003GUOtherTXBCBS
100169860BMedicaidOK
140823902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050727000917 TX Practitioner - Obstetrics/Gynecology 9537197942 Practice locations: Paris, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1649277286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN",
            "address_2": "STE 218",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-785-6448",
            "fax_number": "903-785-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 LEWIS LN",
            "address_2": "STE 218",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609380",
            "telephone_number": "903-785-6448",
            "fax_number": "903-785-6498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "TUESDAY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L1815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003GU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100169860B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140823902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.