JAMES H DEMBERG MD PA (NPI# 1770613945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770613945 |
| Entity Type | Organization |
| Organization Name | JAMES H DEMBERG MD PA |
| Practice Address |
1810 Shiloh Rd Suite # 501 Tyler TX 75703-2419 |
| Mailing Address |
Po Box 133170 Tyler TX 75713-3170 |
| Practice Telephone | 9035964600 |
| Mailing Telephone | 9035964600 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES H. DEMBERG (OWNER) |
| Authorized Official Telephone | 9035964600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | F - 3096 | TX | Ambulatory Health Care Facilities |
| Street Address |
1810 SHILOH RD SUITE # 501 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548378482 | John Charles Hopkins | Counselor | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2006-08-29 |
| 1912361841 | Benjamin Daniel Boynton Phd Pllc | Community/Behavioral Health | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2016-04-06 |
| 1508225145 | Benjamin Daniel Boynton | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2016-02-10 |
| 1649613381 | Nicole M Grant | Counselor | 1810 Shiloh Rd, Ste B503, Tyler, TX 75703-2419 | 2013-04-11 |
| 1114236288 | Summit Psychological Services, Pllc | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2010-10-06 |
| 1245446897 | Valera L Mahood | Social Worker | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2007-05-14 |
| 1235200072 | Shana Jean Conover | Counselor | 1810 Shiloh Rd, Suite 605, Tyler, TX 75703-2419 | 2006-11-13 |
| 1649367707 | Stephen C. Westmoreland, PC | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703-2419 | 2006-10-09 |
| 1023103603 | Stephen C Westmoreland | Psychologist | 1810 Shiloh Rd, Suite 801, Tyler, TX 75703 | 2006-10-03 |
| 1699875872 | Angus Don Walker | Psychologist | 1810 Shiloh Rd, Ste 801, Tyler, TX 75703-2457 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245319334 | Barbara Ryno Davidson Md Pa | Clinic/Center | 1100 E Lake St Ste 340, Tyler, TX 75701-3359 | 2006-11-02 |
| 1356892277 | Christus Trinity Clinic - Cardiology | Clinic/Center | 703 S Fleishel Ave, Suite 4000, Tyler, TX 75701-2015 | 2016-10-14 |
| 1023371804 | Clifford D. Mullins, D.c., P.C. | Clinic/Center | 14653 Eastside Rd, Tyler, TX 75707-6729 | 2012-06-18 |
| 1104120989 | Trincare Inc | Clinic/Center | 1327 Troup Hwy, Suite C, Tyler, TX 75701-4443 | 2011-01-07 |
| 1609003532 | Guevara Enterprises Inc. | Clinic/Center | 1819 Troup Hwy, Tyler, TX 75701-5870 | 2009-06-18 |
| 1255582086 | Trinity Clinic | Clinic/Center | 3802 Manhatton Dr, Tyler, TX 75701-9451 | 2008-10-10 |
| 1356391734 | Trinity Clinic | Clinic/Center | 910 E Houston St, Ste 530, Tyler, TX 75702-8366 | 2006-05-10 |
| 1376540096 | Dehaven Cataract Surgical Center,inc | Clinic/Center | 1424 East Front, Tyler, TX 75702-8501 | 2005-07-07 |
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| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
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| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
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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.