EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC
NPI 1528693629
Emergency Medicine in Tyler, TX
NPI Status: Active since March 09, 2020
Contact Information
2222 E SOUTHEAST LOOP 323
TYLER, TX
ZIP 75701
Phone: (469) 341-7800
- Organization
- Emergency Medicine
- CLIA Number: 45D2184670
- CLIA Cert. Type: Other - FREESTANDING ER
- CLIA Exp. Date: 12-28-2025
About EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC
This page provides the complete NPI Profile along with additional information for Exceptional Physicians Group Tyler Pllc, a provider established in Tyler, Texas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1528693629 assigned on March 2020. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Exceptional Physicians Group Tyler Pllc 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 Saeed S Mahboubi (Cfo)
- NPI
- 1528693629
- Provider Name
- EXCEPTIONAL PHYSICIANS GROUP TYLER PLLC
- Entity Type
- Organization
- Location Address
- 2222 E SOUTHEAST LOOP 323 TYLER, TX 75701
- Location Phone
- (469) 341-7800
- Mailing Address
- 1100 S AKARD ST DALLAS, TX 75215
- Mailing Phone
- (469) 341-7800
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-09-2020
- Last Update Date
- 07-23-2020
- 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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2184670
- Facility Type
- Other - FREESTANDING ER
- Certificate Effective Date
- December 29, 2023
- Certificate Expiration Date
- December 28, 2025
- Laboratory Director
- KARIM MOSHREFI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Exceptional Physicians Group Tyler Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 | 5 | 2 | 8 | 6 | 9 | 3 | 6 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 12 | 9 | 6 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 2 + 9 + 6 + 6 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1528693629 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770118879 | EXCEPTIONAL HEALTHCARE TYLER LLC Organization | Clinic/Center (Emergency Care) | 2222 E SOUTHEAST LOOP 323 TYLER, TX 75701 (469) 341-7800 |
| 1477234995 | TYLER TEXAS EMERGENCY CENTER, LLC Organization | Emergency Medicine | 2222 E SOUTHEAST LOOP 323 TYLER, TX 75701 (903) 707-8893 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528693629, enumerated in the NPI registry as an "organization" on March 09, 2020
The provider is located at 2222 E Southeast Loop 323 Tyler, Tx 75701 and the phone number is (469) 341-7800
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider's CLIA number is 45D2184670 for a "other - freestanding er" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on March 09, 2020. 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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