Organization Active NPI

Novamed Surgery Center of Tyler, LP

Doing business as Cataract Center of East Texas

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
National Provider Identifier
1902898323
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
NOVAMED SURGERY CENTER OF TYLER, LP
Doing business as
Cataract Center of East Texas
Practice address
802 Turtle Creek Drive
Tyler, TX 75701
Phone
(903) 595-4333
Fax
(903) 535-9845
NPI assigned
Aug 22, 2005
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NOVAMED, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Jennifer Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X TX Primary

Addresses

Primary practice location

802 Turtle Creek Drive
Tyler, TX 75701

Mailing address

802 Turtle Creek Dr
Tyler, TX 75701-1900
Phone (903) 595-4333

Other names 1

  • Cataract Center of East Texas Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080320000205 TX Part B Supplier - Clinic/Group Practice 9537253414 Receives reassigned benefits from 9 practitioners
Practice locations: Tyler, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cataract Center of East Texas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

861204 Reliable Pkwy
Chicago, IL 60686

802 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 595-4333

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1902898323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011900",
            "telephone_number": "903-595-4333",
            "fax_number": "903-509-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 TURTLE CREEK DRIVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-595-4333",
            "fax_number": "903-535-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF TYLER, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVAMED, INC.",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract Center of East Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 2025; 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.