Active NPI
Tyler Endoscopy Center, LTD
- Ambulatory Surgical Clinic/Center
- Tyler, TX
National Provider Identifier
1740293034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008143
- Legal business name
- TYLER ENDOSCOPY CENTER, LTD
- Practice address
- 1722 South Beckham Ave
Tyler, TX 75701 - Phone
- (903) 595-5101
- Fax
- (903) 597-2314
- NPI assigned
- Aug 15, 2006
- Last updated
- Jun 30, 2010
- 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
- David Norris
- Title
- Administrator
- Phone
- (903) 595-5101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 008143 | TX | Primary |
Addresses
Primary practice location
1722 South Beckham Ave
Tyler, TX 75701
Mailing address
1720 S Beckham Ave
Tyler, TX 75701-4464
Phone (903) 595-5101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173486501 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1722 S Beckham Ave
Tyler, TX 75701
Phone (903) 595-5101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Tyler, TX
- NPI 1073526604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1740293034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757014464",
"telephone_number": "903-595-5101",
"fax_number": "903-597-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 SOUTH BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "75701",
"telephone_number": "903-595-5101",
"fax_number": "903-597-2314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER ENDOSCOPY CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-15",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "NORRIS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "903-595-5101"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "008143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173486501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Tyler Counseling & Assessment Center
- Tyler Counseling Services LLC (Crosspoint Counseling Services)
- Tyler Denture Pros, PLLC
- Tyler Dentures and Dental Implants
- Tyler Endodontics, PLLC
- Tyler ER Operations, LLC
- Tyler ER Operations, LLC
- Tyler Ert Acquisition Partners LLC (Tyler Complete Care)
- Tyler Eye Care, P.a. (Todays Vision)
- Tyler Family Circle of Care (Family Circle of Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.