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AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA
NPI 1699765107
Orthopaedic Surgery in Tyler, TX

Active since October 26, 2005
3414 GOLDEN ROAD, TYLER, TX 75701(903) 939-7500(903) 939-7728 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2019, Nov 19, 2015 (2 updates tracked since 2015).

About Azalea Orthopedic & Sports Medicine Clinic Pa NPPES

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

AZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA (NPI 1699765107) is a healthcare organization registered as an orthopaedic surgery in Tyler, Texas and active in the NPI registry since October 2005. The organization maintains 9 additional practice locations and lists Heidi Ebert, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1699765107
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameAZALEA ORTHOPEDIC & SPORTS MEDICINE CLINIC PA
Location Address3414 GOLDEN ROADTyler, TX 75701
Mailing AddressPo Box 610307Dallas, TX 75261-0307 · (903) 939-7500 · Fax (903) 939-7728
Phone(903) 939-7500
Fax(903) 939-7728
Organization SubpartNo
Authorized OfficialHeidi EbertBilling Supervisor · (903) 939-7774
Enumeration DateOctober 26, 2005
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1699765107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 0863040001 (TX)
3414 GOLDEN ROAD, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Locations 9

Location 11814 Roseland Blvd Ste 100Tyler, TX 75701-4262 · Phone (903) 525-3300
Location 28101 S Broadway AveTyler, TX 75703-5469 · Phone (903) 939-7501
Location 32211 S Loop 256Palestine, TX 75801-4701 · Phone (903) 939-7500
Location 42701 US Highway 271 NPittsburg, TX 75686-4289 · Phone (903) 946-5442
Location 5725 N 4th StLongview, TX 75601-5412 · Phone (903) 939-7501
Location 6305 W 20th StMount Pleasant, TX 75455-2327 · Phone (903) 577-5661
Location 74800 NE Stallings Dr Ste 110Nacogdoches, TX 75965-1250 · Phone (903) 939-7500
Location 86444 State Highway 19 SAthens, TX 75751-8968 · Phone (903) 939-7501
Location 9203 Nacogdoches St Ste 350Jacksonville, TX 75766-2454 · Phone (903) 939-7536

Other Identifiers 2

Medicaid084034002TX
Medicaid084034001TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JILL MARIE ELDER PHYSICAL THERAPIST
Physical Therapist
3414 GOLDEN ROAD
TYLER, TX 75701
Smith County (903) 939-7552
MR. JEREMY LAYNE OWENS PHYSICAL THERAPIST
Physical Therapist
3414 GOLDEN ROAD
TYLER, TX 75701
Smith County (903) 939-7552
MS. CHRISTINE BURNS ROGERS PHYSICAL THERAPIST
Physical Therapist
3414 GOLDEN ROAD
TYLER, TX 75701
Smith County (903) 939-7552
MS. NONA WOODS PHYSICAL THERAPIST
Physical Therapy Assistant
3414 GOLDEN ROAD
TYLER, TX 75701
Smith County (903) 939-7552
ARVINDER KAUR BAINS M.D.
Internal Medicine
3414 GOLDEN ROAD, VA PRIMARY CARE CLINIC
TYLER, TX 75701
Smith County (903) 590-3050

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 Azalea Orthopedic & Sports Medicine Clinic PA's NPI number?

The NPI number for Azalea Orthopedic & Sports Medicine Clinic PA is 1699765107. It was assigned to this organization in the NPPES registry on October 26, 2005.

Where is Azalea Orthopedic & Sports Medicine Clinic PA located?

Azalea Orthopedic & Sports Medicine Clinic PA is located at 3414 Golden Road, Tyler, TX 75701. The listed phone number is (903) 939-7500.

What is Azalea Orthopedic & Sports Medicine Clinic PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Azalea Orthopedic & Sports Medicine Clinic PA was last updated on January 28, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.