AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA – NPI #1699765107
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA is an orthopaedic surgeon located in TYLER, TX. NPPES has assigned the NPI number 1699765107 to AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA on October 26, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 9 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 7 years ago on Jan 28, 2019. 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 AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA below.

NPI Profile for
AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA

NPI Number
1699765107
Enumeration Date

(more than 20 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
AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA
Primary location
3414 GOLDEN ROAD
TYLER, TX 75701
Phone: (903) 939-7500 Fax: (903) 939-7728
9 Other location(s):
6444 State Highway 19 S
Athens, TX 75751-8968
Phone: (903) 939-7501
203 Nacogdoches St Ste 350
Jacksonville, TX 75766-2454
Phone: (903) 939-7536
725 N 4th St
Longview, TX 75601-5412
Phone: (903) 939-7501
305 W 20th St
Mount Pleasant, TX 75455-2327
Phone: (903) 577-5661
4800 NE Stallings Dr Ste 110
Nacogdoches, TX 75965-1250
Phone: (903) 939-7500
2211 S Loop 256
Palestine, TX 75801-4701
Phone: (903) 939-7500
2701 US Highway 271 N
Pittsburg, TX 75686-4289
Phone: (903) 946-5442
1814 Roseland Blvd Ste 100
Tyler, TX 75701-4262
Phone: (903) 525-3300
8101 S Broadway Ave
Tyler, TX 75703-5469
Phone: (903) 939-7501
Mailing address
PO BOX 610307
DALLAS, TX 75261-0307
Phone: (903) 939-7500 Fax: (903) 939-7728
Organization Subpart
No
Authorized Official
HEIDI EBERT
BILLING SUPERVISOR
Phone: (903) 939-7774
Updated
Identifiers

Identifiers for AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA

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
MEDICAIDTX084034002
MEDICAIDTX084034001
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
207X00000X
- Orthopaedic Surgery (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies
TX 0863040001

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.