Individual provider Active NPI

James R Tandy, M.D.

  • Otolaryngology Physician
  • Waco, TX
National Provider Identifier
1730127580
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
J2988 Issued in TX
Practice address
601 W Highway 6
Suite 106
Waco, TX 76710-5575
Phone
(254) 776-7744
Fax
(254) 751-9211
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X J2988 TX Primary

Addresses

Primary practice location

601 W Highway 6
Suite 106
Waco, TX 76710-5575

Mailing address

601 W Highway 6
Suite 106
Waco, TX 76710-5575
Phone (254) 776-7744

Other identifiers 1

IdentifierTypeStateIssuer
120566801MedicaidTX

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
I20100910000629 TX Practitioner - Otolaryngology 3971570250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2988TXMDOtolaryngology Physician

Interoperability endpoints

  • Direct secure messaging: james.tandy.md.1@9635.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1730127580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105575",
            "telephone_number": "254-776-7744",
            "fax_number": "254-751-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W HIGHWAY 6",
            "address_2": "SUITE 106",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105575",
            "telephone_number": "254-776-7744",
            "fax_number": "254-751-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDY",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "J2988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120566801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.