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WILEY ROOSTH MD & ASSOCIATES
NPI 1104059955
Family Medicine in Tyler, TX

Active since August 27, 2009
1025 HOSPITAL DR, TYLER, TX 75701(903) 592-8181(903) 592-8113 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wiley Roosth Md & Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILEY ROOSTH MD & ASSOCIATES (NPI 1104059955) is a healthcare organization registered as a family medicine in Tyler, Texas and active in the NPI registry since August 2009. The organization lists Wiley Roosth, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104059955
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILEY ROOSTH MD & ASSOCIATES
Location Address1025 HOSPITAL DRTyler, TX 75701-2023
Mailing Address1025 Hospital DrTyler, TX 75701-2023 · (903) 592-8181 · Fax (903) 592-8113
Phone(903) 592-8181
Fax(903) 592-8113
Organization SubpartNo
Authorized OfficialWiley RoosthCeo · (903) 592-8181
Enumeration DateAugust 27, 2009
✔ NPI 1104059955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · B9174
Definition
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.
1025 HOSPITAL DR, Tyler, TX 75701
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Other Identifiers 3

Medicare PIN006359TX
Medicare UPINB26009
Medicaid030768801TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wiley Roosth MD & Associates's NPI number?

The NPI number for Wiley Roosth MD & Associates is 1104059955. It was assigned to this organization in the NPPES registry on August 27, 2009.

Where is Wiley Roosth MD & Associates located?

Wiley Roosth MD & Associates is located at 1025 Hospital Dr, Tyler, TX 75701. The listed phone number is (903) 592-8181.

What is Wiley Roosth MD & Associates's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wiley Roosth MD & Associates was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.