Lambert Dermatology Clinic P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N4537 Issued in TX

Legal business name

LAMBERT DERMATOLOGY CLINIC P.A.

Doing business as

South Tyler Dermatology

Practice address

5791 Copeland Rd
Tyler, TX 75703-3905

Phone

(903) 509-2020

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Lambert Jr., M.D.NPI 1225252489

Title

President

Phone

(903) 330-5000

Specialties & licenses 1

Addresses

Other names 1

• South Tyler Dermatology Doing business as

Locations

Practitioners 3

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.

• Thomas Lambert Jr., MD

  • Dermatology Physician
  • Tyler, TX
  • NPI 1225252489
  Authorized official Same address or phone
• Shanna Burris Meads, MD

  • Dermatology Physician
  • Tyler, TX
  • NPI 1023054624
  NPD (past)
• Paige Lackey Simons, PA-C

  • Physician Assistant
  • Tyler, TX
  • NPI 1851923684
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1851770218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5791 COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-509-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5791 COPELAND RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757033905",
            "telephone_number": "903-509-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMBERT DERMATOLOGY CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-330-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N4537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Tyler Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Leroy Lakey, MD
• Jonathan Lall
• Gregory Lamay, NRP
• Scott Joseph Lamb, M.D.
• Jonathan Lambach, BCBA
• Bethany Christen Lambert, LVN
• Hope Lambert
• Thomas Lambert Jr., MD
• Timothy Chris Lambert, D.C., FNP-C
• Jared Ryan Lambson, O.D.

• Dermatology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.