TYLER PHYSICAL MEDICINE ASSOCIATES PA
NPI 1265570725
Pain Medicine - Interventional Pain Medicine in Tyler, TX
NPI Status: Active since February 04, 2007
Contact Information
2708 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 526-2323
Fax: (903) 526-2484
- Organization
- Pain Medicine
- Interventional Pain Medicine
About TYLER PHYSICAL MEDICINE ASSOCIATES PA
This page provides the complete NPI Profile along with additional information for Tyler Physical Medicine Associates Pa, a provider established in Tyler, Texas operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1265570725 assigned on February 2007. The practitioner's primary taxonomy code is 208VP0014X with license number K4082 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. Tyler Physical Medicine Associates Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. James F Holleman Holleman Jr. Do (Direct Owner)
- NPI
- 1265570725
- Provider Name
- TYLER PHYSICAL MEDICINE ASSOCIATES PA
- Entity Type
- Organization
- Location Address
- 2708 E 5TH ST TYLER, TX 75701
- Location Phone
- (903) 526-2323
- Location Fax
- (903) 526-2484
- Mailing Address
- 2708 E 5TH ST TYLER, TX 75701
- Mailing Phone
- (903) 526-2323
- Mailing Fax
- (903) 526-2484
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2007
- Last Update Date
- 06-27-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- K4082
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | 6215 (TX) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D38797 | MEDICARE UPIN (02) | ||
| 00969U | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 162882801 | MEDICAID (05) | TX |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 5 | 7 | 0 | 7 | 2 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 10 | 7 | 0 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 0 + 7 + 0 + 7 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1265570725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326071218 | MICHAEL P GOAD D.C. Individual | Chiropractor | 2708 E 5TH ST TYLER, TX 75701 (903) 526-2323 |
| 1083692248 | DR. JAMES FINAS HOLLEMAN III M.D. Individual | Internal Medicine | 2708 E 5TH ST TYLER, TX 75701 (903) 526-2323 |
| 1285728162 | JAMES F. HOLLEMAN, III, MD, PA Organization | Internal Medicine | 2708 E 5TH ST TYLER, TX 75701 (903) 526-2323 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265570725, enumerated in the NPI registry as an "organization" on February 04, 2007
The provider is located at 2708 E 5th St Tyler, Tx 75701 and the phone number is (903) 526-2323
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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