Knotty Pines Medical Services LLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

KNOTTY PINES MEDICAL SERVICES LLC

Practice address

1212 Clinic Dr
Tyler, TX 75701-2117

Phone

(903) 920-0900

Fax

(903) 920-0894

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Christie Walker, MDNPI 1750673554

Title

Owner

Phone

(903) 920-0900

Specialties & licenses 1

Addresses

Other names 1

• Piney Woods Perinatal Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Christie L Walker, M.D.

  • Maternal & Fetal Medicine Physician
  • Tyler, TX
  • NPI 1750673554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1902637556",
    "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": "903-920-0900",
            "fax_number": "903-920-0894"
        },
        {
            "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": "903-920-0900",
            "fax_number": "903-920-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTTY PINES MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-920-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piney Woods Perinatal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Taylor Knight, PHARMD
• Christine Tamara Knight, PT
• Lindsay Knight
• Kyle Knighton
• Ryan Knoebel
• Amanda Lynn Knowles, RN
• Darby Allaine Knox, LPC, NCC
• Karen Knudtson
• James Blake Knutson, MD
• Jennifer Knutson

• Maternal & Fetal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Maternal & Fetal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.