Organization Active NPI

Arthritis and Osteoporosis Clinic of East Texas

  • Rheumatology Physician
  • Tyler, TX
National Provider Identifier
1881690287
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G1283 Issued in TX
Legal business name
ARTHRITIS AND OSTEOPOROSIS CLINIC OF EAST TEXAS
Practice address
1212 Clinic Dr
Tyler, TX 75701-2117
Phone
(903) 596-8858
Fax
(903) 535-9138
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Bebe J Foster
Title
Billing Manager
Phone
(903) 596-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X G1283 TX Primary

Addresses

Primary practice location

1212 Clinic Dr
Tyler, TX 75701-2117

Mailing address

1212 Clinic Dr
Tyler, TX 75701-2117
Phone (903) 596-8858

Other identifiers 2

IdentifierTypeStateIssuer
1770586703OtherTXNPI, PHYSICIAN
080077302MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1881690287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012117",
            "telephone_number": "903-596-8858",
            "fax_number": "903-535-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012117",
            "telephone_number": "903-596-8858",
            "fax_number": "903-535-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS AND OSTEOPOROSIS CLINIC OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BEBE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "903-596-8858"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "G1283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, PHYSICIAN",
            "identifier": "1770586703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080077302",
            "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 Dec 9, 2009; 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.