SPINE & JOINT PHYSICIAN ASSOCIATES


Address: 1814 Roseland Blvd, Tyler, TX 75701-4234
Phone: (903) 525-3330

SPINE & JOINT PHYSICIAN ASSOCIATES (NPI# 1598283400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598283400
Entity Type Organization
Organization Name SPINE & JOINT PHYSICIAN ASSOCIATES
Practice Address 1814 Roseland Blvd
Tyler
TX 75701-4234
Practice Telephone (903) 525-3330
Mailing Telephone 9035253330
Enumeration Date 2017-08-31
Last Update Date 2018-03-17
Authorized Official Name JENETHA D MORAN (OFFICER / AUTHORIZED OFFICIAL)
Authorized Official Telephone 9727633893
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TEXAS SOS FILING NUMBER 802145828 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
8101 S Broadway Ave, Tyler, TX 757035469 9039390920 9035253398
725 N 4th St, Longview, TX 756015412 9037588754 9035253398
3414 Golden Rd, Tyler, TX 757018336 9035970601 9035310220
2211 S Loop 256, Palestine, TX 758014701 9037290970 9035253398

Office Location

Street Address 1814 ROSELAND BLVD
City TYLER
State TX
Zip Code 75701-4234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942292255 Texas Spine and Joint Hospital, LLC General Acute Care Hospital 1814 Roseland Blvd, Tyler, TX 75701-4262 2005-08-22
1215587548 David Tyler Dillon Physical Therapist 1814 Roseland Blvd, Tyler, TX 75701-4234 2019-09-18
1235607110 Amanda Nicole Piper Physical Therapist 1814 Roseland Blvd, Tyler, TX 75701-4234 2018-11-08
1942777578 Taiwo Anuoluwapo Kola-korolo Physical Therapist 1814 Roseland Blvd, Tyler, TX 75701-4234 2018-11-01
1235605783 Armando Loera Physical Therapist 1814 Roseland Blvd, Tyler, TX 75701-4234 2018-10-22
1194290064 Clay Mccoy Physical Therapy Assistant 1814 Roseland Blvd, Tyler, TX 75701-4234 2018-10-08
1710349675 Lindsey Nance Koon Nurse Practitioner 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 2016-03-22
1710326830 Bradford Kingsley Kay Pharmacist 1814 Roseland Blvd, Tyler, TX 75701-4234 2013-06-21
1558665703 Micah Roy Jackson Physician Assistant 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 2011-01-03
1053640615 Elisabeth Ann Cercek Nurse Practitioner 1814 Roseland Blvd, Suite 200, Tyler, TX 75701-4234 2009-12-10
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922632553 Christina Kay Baker Family Medicine 2333 Dueling Oaks Dr, Tyler, TX 75703-0326 2020-02-21
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1396389870 Shelly Lynn Williams Family Medicine 1420 W Southwest Loop 323 Ste 100, Tyler, TX 75701-9347 2019-10-29
1891354494 Beverly Diann Butler Family Medicine 5604 Old Bullard Rd Ste 107, Tyler, TX 75703-4359 2019-06-07
1851846018 Thomas Mason Worthington Jr. Family Medicine 9141 Chisholm Trl, Tyler, TX 75703-0409 2016-08-17
1881069557 The Bradley Clinic of Texas, Pllc Family Medicine 1402 Rice Rd, Suite 100, Tyler, TX 75703-3260 2015-12-07
1750764189 Diabetic Renewal Center LLC Family Medicine 1015 Pruitt Pl Ste 105, Tyler, TX 75703-1154 2015-07-02
1013306273 Pure Radiance Laser Retreat Family Medicine 6722 S Broadway Ave, Tyler, TX 75703-4730 2015-01-12
1023412988 James Kent Gray Family Medicine 14843 Big Oak Bay Rd, Tyler, TX 75707-7309 2014-10-21
1346640182 Morris Mht LLC Family Medicine 2030 Stonegate Blvd, Tyler, TX 75703-0103 2014-08-29
Find all providers in TYLER

Competitor

Search similar providers

City TYLER
Zip Code 75701

Improve Information

Please comment or provide details below to improve the information on SPINE & JOINT PHYSICIAN ASSOCIATES.

Dataset Information

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.

Trending Searches