Magnolia Internal Medicine Associates PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MAGNOLIA INTERNAL MEDICINE ASSOCIATES PA

Practice address

3309 University Blvd
Tyler, TX 75701

Phone

(903) 565-0303

Fax

(903) 565-5446

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Denise Ione Sherman, MDNPI 1982682159

Title

Clinic Director

Phone

(903) 565-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Denise Ione Sherman, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1982682159
  Medicare reassignment Care Compare group NPD Authorized official
• Russell Todd Topham, MD

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1437138005
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1972582385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-565-0303",
            "fax_number": "903-565-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-565-0303",
            "fax_number": "903-565-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "IONE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "903-565-0303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0057LZ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Made Known Counseling PLLC
• Eric S Madore, MD
• Melissa Diane Maeker, R.PH.
• James Magee, CRNA
• Vanessa Kay Magness, R.T.(R)
• Jenny Sue Magruder, DNP-A, CRNA
• Jordan Page Magruder
• Payaam Mahdavian, DO
• Farah Mahmood, MD
• Soran Mahmood, M.B.CH.B

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.