GOODYEAR FAMILY MEDICAL CENTER – NPI #1750456000
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

GOODYEAR FAMILY MEDICAL CENTER is a provider located in TYLER, TX. NPPES has assigned the NPI number 1750456000 to GOODYEAR FAMILY MEDICAL CENTER on November 22, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GOODYEAR FAMILY MEDICAL CENTER” is a dba name, the actual legal business name for this organization is PREMISE HEALTH OF TEXAS MEDICAL, P.A. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 4 years ago on Aug 23, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GOODYEAR FAMILY MEDICAL CENTER below.

NPI Profile for
PREMISE HEALTH OF TEXAS MEDICAL, P.A

NPI Number
1750456000
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMISE HEALTH OF TEXAS MEDICAL, P.A
Doing Business As (dba): GOODYEAR FAMILY MEDICAL CENTER
Primary location
HWY 31 WEST FM206
TYLER, TX 75709
Phone: (903) 592-3257 Fax: (903) 592-3447
Mailing address
5500 MARYLAND WAY STE 120
BRENTWOOD, TN 37027-4993
Phone: Fax:
Organization Subpart
No
Authorized Official
JON LEIZMAN
PRESIDENT
Phone: (216) 479-9063
Updated
Certification Date
Aug 23, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GOODYEAR FAMILY MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPRACTICE BCBS NUMBERTX0069HJ
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.