Joseph Leonard Decarlo (NPI# 1013954809, PAC ID# 6406828649) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1013954809 |
| PAC ID by PECOS | 6406828649 |
| Professional Enrollment ID | I20101026000439 |
| Full Name | Joseph Leonard Decarlo |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
911 S Beckham Ave Tyler TX 75701-1907 |
| Phone Number | 9032623900 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450083 | EAST TEXAS MEDICAL CENTER |
| 450102 | MOTHER FRANCES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18118 Fm 344, Ut Health East Texas Physicians, Flint, TX 75762-6010 | 9038253292 | ETMC PHYSICIAN GROUP, INC. |
| 1000 S Beckham Ave, Tyler, TX 75701-1908 | 9035905611 | ETMC PHYSICIAN GROUP, INC. |
| 700 Olympic Plaza, Suite 700, Tyler, TX 75701-1954 | 9035974424 | UROLOGY TYLER PA |
| 700 Olympic Plaza Cir, Suite 850, Tyler, TX 75701-1955 | 9035963504 | ETMC PHYSICIAN GROUP, INC. |
| 701 Olympic Plaza Cir, Tyler, TX 75701-1950 | 9035318109 | ETMC PHYSICIAN GROUP, INC. |
| 911 S Beckham Ave, Tyler, TX 75701-1907 | 9032623900 | ETMC PHYSICIAN GROUP, INC. |
| 911 S Beckham Ave, Ut Health, Tyler, TX 75701-1907 | 9032623900 | ETMC PHYSICIAN GROUP, INC. |
| 911 S Beckham Ave, Tyler, TX 75701-1907 | UROLOGY TYLER PA |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| John G Pogue | Psychiatry | Etmc Physician Group, Inc. | 4101 University Blvd, Tyler, TX 75701-6623 |
| Street Address |
911 S BECKHAM AVE |
| City | TYLER |
| State | TX |
| Zip | 75701-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles T Dickson | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Robert Williams | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Andrew Frank Navetta | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| John M Barnett | Radiation Oncology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| William Riddick Armstrong Iii | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Thomas C Bright Iii | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| James D Mcandrew | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose L Enriquez | Diagnostic Radiology | Tyler Radiology Associates, Pa | 1100 S Beckham, Tyler, TX 75701 |
| Frank P Reuter Jr. | Internal Medicine | 712 S Bois D Arc Ave, Tyler, TX 75701-1503 | |
| Tammy L Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| Mark R Michaelsen | Chiropractic | Michaelsen Chiropractic Center, P.C. | 645 S Broadway Ave, Suite 1, Tyler, TX 75701-1676 |
| James Louis Wasson | Obstetrics/gynecology | 649 S Broadway Ave, Suite 2, Tyler, TX 75701-1677 | |
| Michael C Ford | Ophthalmology | 714 Turtle Creek Dr, Tyler, TX 75701-1833 | |
| Rosalyn L Gooch | Certified Registered Nurse Anesthetist (crna) | Novamed Surgery Center of Tyler, Lp | 802 Turtle Creek Dr, Tyler, TX 75701-1900 |
| Evans S Smith | Emergency Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| Li-yu H Mitchell | Family Medicine | 833 S Beckham Ave, Tyler, TX 75701-1905 | |
| David R Dewalch | Physician Assistant | Etmc Physician Group, Inc. | 1000 S Beckham Ave, Tyler, TX 75701-1908 |
| Find all physicians in zip 75701 | |||
| City | TYLER |
| Zip Code | 75701 |
| Specialty | UROLOGY |
| City + Specialty | TYLER + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.