Active NPI
Thomas A Hargrove, MD
- Pediatrics Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- H5776
- Practice address
- 706 Turtle Creek Dr
Tyler, TX 75701-1833 - Phone
- (903) 595-3942
- NPI assigned
- Feb 14, 2006
- Last updated
- Sep 5, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | H5776 | TX | Primary |
Addresses
Primary practice location
706 Turtle Creek Dr
Tyler, TX 75701-1833
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6450
Other practice location 1
3593 E Grande Blvd
Tyler, TX 75707-1400
Phone (903) 839-2585
Other practice location 2
3203 S Main St
Lindale, TX 75771-7727
Phone (903) 882-7717
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136209711 | Medicaid | TX | |
| 136209712 | Medicaid | TX | |
| 136209706 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Pediatrics | Current | Accepting new patients |
Locations
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
706 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-3942
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
3593 E Grande Blvd
Tyler, TX 75707
Phone (903) 606-1664
Interoperability endpoints
- thargrove2646@christushealth.direct-ci.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Pediatrics
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1902870272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 TURTLE CREEK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757011833",
"telephone_number": "903-595-3942"
}
],
"practiceLocations": [
{
"address_1": "3593 E Grande Blvd",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757071400",
"country_code": "US",
"telephone_number": "903-839-2585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3203 S Main St",
"address_purpose": "LOCATION",
"city": "Lindale",
"state": "TX",
"postal_code": "757717727",
"country_code": "US",
"telephone_number": "903-882-7717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARGROVE",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "H5776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136209711",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136209712",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136209706",
"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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.