JAMES WAYNE MCKINLEY


Address: 1814 Roseland Blvd, Tyler, TX 75701-4234
Phone: 9035268754

JAMES WAYNE MCKINLEY (NPI# 1902896863) 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) 1902896863
Entity Type Individual
Full Name JAMES WAYNE MCKINLEY
Credential M.D.
Practice Address 1814 Roseland Blvd
Tyler
TX 75701-4234
Mailing Address 5701 Old Bullard Rd
Pmb 56
Tyler
TX 75703-4340
Practice Telephone 9035268754
Mailing Telephone 9033124004
Mailing Fax Number 8882428720
Enumeration Date 2005-10-24
Last Update Date 2011-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
H4539 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 123027808 05

Other Providers JAMES MCKINLEY

NPI Name Taxonomy Address Enumeration
1619353455 James Mckinley Contractor 28430 Hoover Rd Apt 1, Warren, MI 48093-5413 2015-08-04
1124246053 James William Mckinley Physical Therapist 7474 E State St, Suite 118, Rockford, IL 61108-2644 2007-04-24
1093043226 James L Mckinley Case Manager/Care Coordinator 2707 Browns Ln, Jonesboro, AR 72401-7213 2009-11-30
1023278116 James Estle Mckinley Family Medicine 1601 Center St., 2n, Mobile, AL 36604 2008-06-11

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
1598283400 Spine & Joint Physician Associates Internal Medicine 1814 Roseland Blvd, Tyler, TX 75701-4234 2017-08-31
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
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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
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Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528218740 Jim Mckinley, M.d., Pllc Family Medicine 1814 Roseland Blvd, Tyler, TX 75701-4234 2008-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922755 David Conrad Ortmeier Family Medicine 4900 Wichita Trl, Flower Mound, TX 75022-5628 2020-11-02
1639704042 Tahnee Rae Beal Family Medicine 1301 S Bonnie Brae St., Athc Building # 0320., Denton, TX 76207 2020-03-05
1760027643 Mark Garza, M.d., Pllc Family Medicine 131 S Westmeadow Dr, Cleburne, TX 76033-4586 2019-11-14
1528603495 Mark Garza, M.d., Pllc Family Medicine 209 Saint Louis Ave Ste 100, Fort Worth, TX 76104-1231 2019-11-14
1265092043 Texas Federal Wellness Center of Mcallen Pllc Family Medicine 4501 W Expressway 83 Ste 50, Mcallen, TX 78503-0029 2019-06-14
1235792524 Celina Family Practice Pllc Family Medicine 701 N Preston Rd Ste 200, Celina, TX 75009-3777 2019-04-22
1164902409 Dna Medical Family Medicine 3736 Bee Caves Rd Ste 9, West Lake Hills, TX 78746-5378 2018-08-16
1861992695 Taylor Henry Family Medicine 739 Tanglewood Drive, Burleson, TX 76028 2018-02-19
1063910842 Running Wild Sea, LLC Family Medicine 8557 Research Blvd Ste 128, Austin, TX 78758-7855 2018-01-26
1134633050 The University of Texas Rio Grande Valley Family Medicine 1201 West University Dr., Utrgv Dept of Intercollegiate Athletics, Edinburg, TX 78539 2017-11-30
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City TYLER
Zip Code 75701

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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.

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