CLAIRE TIBILETTI MD PA (NPI# 1992922033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992922033 |
| Entity Type | Organization |
| Organization Name | CLAIRE TIBILETTI MD PA |
| Practice Address |
1814 Roseland Blvd Suite 300 Tyler TX 75701-4234 |
| Practice Telephone | 9035972508 |
| Practice Fax Number | 9035352914 |
| Mailing Telephone | 9035972508 |
| Mailing Fax Number | 9035352914 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | FRANCENE BELL (OFFICE MGR.) |
| Authorized Official Telephone | 9035972508 |
| Authorized Official Credential | R.N. CMOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G3856 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE INDIVIDUAL | P00063083 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 0037KV | 01 |
| TX | 162224301 | 05 | |
| TX | RAILROAD MEDICARE GROUP | DA5545 | 01 |
| Street Address |
1814 ROSELAND BLVD SUITE 300 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-4234 |
| 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 |
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144242348 | David King Fletcher | Pain Medicine | 816 S Fleishel Ave, Tyler, TX 75701-2016 | 2006-07-24 |
| 1972990976 | David Marcos Bowen | Pain Medicine | 3414 Golden Rd, Tyler, TX 75701-8336 | 2015-04-17 |
| 1023236478 | Duane Lee Griffith | Pain Medicine | 2737 S Broadway Ave, Tyler, TX 75701 | 2007-04-23 |
| 1396962494 | David K Fletcher Md Pa | Pain Medicine | 816 S Fleishel Ave, Tyler, TX 75701-2016 | 2007-04-19 |
| 1205053329 | James P Michaels Md Pa | Pain Medicine | 1814 Roseland Blvd, Suite 300, Tyler, TX 75701-4234 | 2007-04-19 |
| 1013937556 | Claire Tibiletti | Pain Medicine | 3414 Golden Rd, Tyler, TX 75701-8336 | 2006-07-20 |
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|---|---|---|---|---|
| 1356958086 | Universal Health Solutions LLC | Pain Medicine | 15223 Park Estates Ln, Houston, TX 77062-3657 | 2020-09-27 |
| 1366065997 | Siai, Pllc | Pain Medicine | 149 E State Highway 121, Suite 105, Coppell, TX 75019 | 2020-05-18 |
| 1316568512 | Pain Management Physicians of Dallas, Pllc | Pain Medicine | 4560 Lake Ridge Pkwy Ste 300, Grand Prairie, TX 75052-1706 | 2020-04-29 |
| 1376172304 | Am/pm Medical Centers | Pain Medicine | 800 W Airport Fwy # 625, Irving, TX 75062-6312 | 2020-04-02 |
| 1326672866 | Arthritis Relief Institute | Pain Medicine | 12606 Greenville Ave Ste 195, Dallas, TX 75243-1909 | 2020-02-24 |
| 1215568035 | Casey Jones LLC | Pain Medicine | 21300 Provincial Blvd Ste 200, Katy, TX 77450-7580 | 2020-01-30 |
| 1801435896 | Comprehensive Pain Institute Pllc | Pain Medicine | 1305 Airport Fwy Ste 302b, Bedford, TX 76021-6604 | 2019-12-23 |
| 1497301386 | Skilled Pain Care Clinic, P.a. | Pain Medicine | 2840 Commercial Center Blvd Ste 104, Katy, TX 77494-6412 | 2019-08-15 |
| 1154976025 | Stephen M. Sims, Md, Pa | Pain Medicine | 17189 I 45 S Ste 265, Shenandoah, TX 77385-3323 | 2019-08-07 |
| 1104479146 | Shaw Pain Clinic Pllc | Pain Medicine | 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654-5252 | 2019-07-18 |
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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.