DR. HEATHER LEIGH LICHT (NPI# 1043505001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043505001 |
| Entity Type | Individual |
| Full Name | DR. HEATHER LEIGH LICHT |
| Credential | M.D. |
| Practice Address |
1327 Troup Hwy Tyler TX 75701-4443 |
| Mailing Address |
Po Box 846098 Dallas TX 75284-0001 |
| Practice Telephone | 9036068840 |
| Mailing Telephone | 9033246400 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | BP10041350 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TRICARE | 75-2616977-021 | 01 |
| TX | TRICARE | 752616977021 | 01 |
| TX | 376704801 | 05 | |
| TX | MEDICARE RAIL ROAD | P01912547 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2401 S 31st St, Temple, TX 765080001 | 2547242663 |
| Street Address |
1327 TROUP HWY |
| City | TYLER |
| State | TX |
| Zip Code | 75701-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035827 | Ming Lu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2005-06-28 |
| 1558886788 | Nicole Rawlings | Specialist/Technologist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2017-08-09 |
| 1902225238 | Dustin Stidger | Internal Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2014-04-15 |
| 1851728240 | Michelle L Cook | Nurse Practitioner | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2013-10-01 |
| 1306289186 | Jeremy Russell Cefalu | Ophthalmology | 1327 Troup Hwy, Tyler, TX 75701 | 2013-04-11 |
| 1972866283 | Jon-michael Glen Cline | Family Medicine | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2012-06-21 |
| 1104120989 | Trincare Inc | Clinic/Center | 1327 Troup Hwy, Suite C, Tyler, TX 75701-4443 | 2011-01-07 |
| 1225342074 | Charles D Smith | Optometrist | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2010-08-04 |
| 1780840603 | Jayesh Kishor Patel | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2008-07-30 |
| 1821252925 | Adam Schneider | Orthopaedic Surgery | 1327 Troup Hwy, Department of Orthopedics - Trinity Clinic, Tyler, TX 75701-4443 | 2008-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245302819 | Alireza Behboudi | Orthopaedic Surgery | 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701-1954 | 2006-11-15 |
| 1487640173 | James Robert Harris | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-09-27 |
| 1679579734 | David Carney | Orthopaedic Surgery | 505 S Fleishel Ave, Tyler, TX 75702-8413 | 2005-06-23 |
| 1982201190 | Ortholonestar, Pllc | Orthopaedic Surgery | 1905 S Donnybrook Ave, Tyler, TX 75701-4216 | 2020-10-01 |
| 1144837691 | Ortholonestar, Pllc | Orthopaedic Surgery | 8101 S Broadway Ave, Tyler, TX 75703-5469 | 2020-09-29 |
| 1104433739 | Ortholonestar, Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-09-28 |
| 1770144701 | Olsv3 Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-20 |
| 1497082077 | Tyler Orthopedic Specialists Pa | Orthopaedic Surgery | 1814 Roseland Blvd, Tyler, TX 75701-4234 | 2009-11-03 |
| 1639313851 | G P Goodfried Md Pa | Orthopaedic Surgery | 1905 S Donnybrook Ave, Tyler, TX 75701-4236 | 2009-05-01 |
| 1780840603 | Jayesh Kishor Patel | Orthopaedic Surgery | 1327 Troup Hwy, Tyler, TX 75701-4443 | 2008-07-30 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.