Individual provider Active NPI

Douglas Ross Lehman, MD, MPH

  • Surgery Physician
  • Tyler, TX
National Provider Identifier
1962673152
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q0302 Issued in TX
Practice address
733 S Fleishel Ave
Tyler, TX 75701-2015
Phone
(903) 606-5788
Fax
(903) 606-1568
NPI assigned
Mar 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD30947 DC
Surgery Physician 208600000X 036.131608 IL
Surgery Physician 208600000X MT190531 PA
Surgery Physician 208600000X Q0302 TX Primary

Addresses

Primary practice location

733 S Fleishel Ave
Tyler, TX 75701-2015

Mailing address

10 Oxford CT
Washington, IL 61571-2128

Other practice location 1

10 Oxford Ct
Washington, IL 61571-2128
Phone (484) 691-1000

Other practice location 2

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-5678

Other practice location 3

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 438-4670

Other identifiers 1

IdentifierTypeStateIssuer
403456301MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190513001589 TX Practitioner - General Surgery 1759527930 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30947DCMDFamily Medicine Physician
036.131608ILMDSurgery Physician
MT190531PAMDSurgery Physician
Q0302TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Sep 2, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 2, 2019 Accepting new patients
Healogics Specialty Physicians of Texas, PLLC Family Medicine CurrentSince Apr 15, 2019 Accepting new patients
Mother Frances Hospital Jacksonville CurrentSince Sep 17, 2022 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4000 22nd Pl
Ste 100
Lubbock, TX 79410
Phone (806) 725-7070

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

733 S Fleishel Ave
Tyler, TX 75701
Phone (903) 597-2002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1962673152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OXFORD CT",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 S FLEISHEL AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012015",
            "telephone_number": "903-606-5788",
            "fax_number": "903-606-1568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Oxford Ct",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IL",
            "postal_code": "615712128",
            "country_code": "US",
            "telephone_number": "484-691-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2026 S Jackson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "TX",
            "postal_code": "757665822",
            "country_code": "US",
            "telephone_number": "903-586-5678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-438-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "DOUGLAS",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD30947",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.131608",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT190531",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403456301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.