Organization Active NPI

Dr. R. Anton Lester Jr & Associates

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1669702585
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F3204 Issued in TX
Legal business name
DR. R. ANTON LESTER JR & ASSOCIATES
Practice address
214 W Houston St
Tyler, TX 75702-8136
Phone
(903) 592-8101
Fax
(903) 526-0565
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Dr. R Anton Lester III, D.O
Title
Physician
Phone
(903) 592-8101

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X F3204 TX Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L7322 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 681561 TX
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X 607316 TX

Addresses

Primary practice location

214 W Houston St
Tyler, TX 75702-8136

Mailing address

214 W Houston St
Tyler, TX 75702-8136
Phone (903) 592-8101

Other identifiers 5

IdentifierTypeStateIssuer
420343501375OtherTXICS
218401201MedicaidTX
218401202MedicaidTX
1751398494967001OtherTXTX REHAB
ZNHW317OtherTXIACS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1669702585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028136",
            "telephone_number": "903-592-8101",
            "fax_number": "903-526-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W HOUSTON ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757028136",
            "telephone_number": "903-592-8101",
            "fax_number": "903-526-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. R. ANTON LESTER JR & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "903-592-8101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F3204",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "681561",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "607316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICS",
            "identifier": "420343501375",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218401201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218401202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX REHAB",
            "identifier": "1751398494967001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IACS",
            "identifier": "ZNHW317",
            "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 Oct 5, 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.