TYLER ASC LP NPI 1063819860

NPI Information

  • NPI: 1063819860
  • Provider Name: TYLER ASC, LP
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: TYLER CARDIAC & ENDOVASCULAR SURGERY CENTER
  • CLIA Number: 45D2089681
  • Address: 1767 TROUP HWY
    TYLER, TX
    ZIP 75701
  • Phone: (903) 535-4000

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NPI Details

TYLER ASC, LP is an ambulatory surgical clinic center in Tyler, TX. TYLER ASC, LP NPI is 1063819860. The provider is registered as an organization entity type.
The provider Is Doing Business As Tyler Cardiac & Endovascular Surgery Center.

The provider's business location address is:

1767 TROUP HWY
TYLER, TX
ZIP 75701
Phone: (903) 535-4000

The provider's authorized official is Gregg Miller .
The authorized official title is Authorized Official and has the following contact phone number (610) 644-8900.

The CLIA number assigned to this NPI record is 45D2089681 - community clinic with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch (HCPCS:C9600)
  • Insertion of pacemaker and upper and lower heart chamber electrode (HCPCS:33208)
  • Removal and replacement of dual lead permanent pacemaker (HCPCS:33228)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Insertion of implantable defibrillator system (HCPCS:33249)
  • Insertion of heart rhythm monitor under skin (HCPCS:33285)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)

The enumeration date for this NPI number is 11/24/2014 and was last updated on 8/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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