ETMC FIRST PHYSICIANS
NPI 1174707483
Family Medicine in Tyler, TX

NPI Status: Active since December 21, 2007

Contact Information

904 S BECKHAM AVE
TYLER, TX
ZIP 75701
Phone: (903) 596-3555
Fax: (903) 596-3560

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  • Organization
  • Family Medicine

About ETMC FIRST PHYSICIANS

This page provides the complete NPI Profile along with additional information for Etmc First Physicians, a primary care provider established in Tyler, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174707483 assigned on December 2007. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. Etmc First Physicians operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Etmc First Physicians. The authorized official of this NPI record is Kim Pearson-wahl (Vice President)

NPI
1174707483
Provider Legal Name
EAST TEXAS MEDICAL CENTER HEALTHCARE ASSOCIATES
Other Organization Name
ETMC FIRST PHYSICIANS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
904 S BECKHAM AVE TYLER, TX 75701
Location Phone
(903) 596-3555
Location Fax
(903) 596-3560
Mailing Address
PO BOX 9477 TYLER, TX 75711
Mailing Phone
(903) 594-2450
Mailing Fax
(903) 596-3560
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2007
Last Update Date
12-21-2007
Code Navigator

A primary care provider (PCP) like Etmc First Physicians sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
22084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM PEARSON-WAHL

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(903) 535-6890

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CC6186OTHER (01)TXRAILROAD MEDICARE
CC6186MEDICARE PIN (08)TX 
0086AEMEDICARE PIN (08)TX 
00T07KOTHER (01)TXBLUE CROSS

Reviews for ETMC FIRST PHYSICIANS

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174707483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 4 + 0 + 1 + 4 + 4 + 1 + 6 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1174707483.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Surgery
904 S BECKHAM AVE, ATTN AMBER ALLEN
TYLER, TX 75701
Family Medicine
904 S BECKHAM AVE
TYLER, TX 75701
Specialist/Technologist, Pathology
904 S BECKHAM AVE
TYLER, TX 75701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174707483, enumerated as an "organization" on December 21, 2007.

The provider is located at 904 S BECKHAM AVE TYLER, TX 75701 and the phone number is (903) 596-3555.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.