Active NPI
Novamed Surgery Center of Tyler, LP
Doing business as Cataract Center of East Texas
- Certified Registered Nurse Anesthetist
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- NOVAMED, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Cataract Center of East Texas
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1083606867
9537253414
National Provider Directory
National Provider Directory- Tax ID family
- Cataract Center of East Texas
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Cataract Center of East Texas
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1083606867
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.
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1831181213
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1902955008
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1861433609
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1538212139
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1902144124
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1609013929
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Dallas, TX
- NPI 1174567713
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1740257849
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1932385234
-
- Ophthalmology Physician
- Tyler, TX
- NPI 1497726103
-
- Ophthalmic Assistant
- Tyler, TX
- NPI 1578678439
-
- Ophthalmic Assistant
- Tyler, TX
- NPI 1609983642
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.