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TYLER INTERNAL MEDICINE ASSOCIATES, P.A.
NPI 1770695850
Internal Medicine in Tyler, TX

Active since August 31, 2006CLIA 45D0972490 · Certificate of Compliance
1910 ROSELAND BLVD, TYLER, TX 75701(903) 533-0644(903) 533-0441 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 30, 2017 and 1 more (4 updates tracked since 2016).

About Tyler Internal Medicine Associates, P.a. NPPES

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

TYLER INTERNAL MEDICINE ASSOCIATES, P.A. (NPI 1770695850) is a healthcare organization registered as an internal medicine in Tyler, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2026, maintains a secondary practice location in Lindale, and lists Thomas Buzbee, Owner, as its authorized official.

NPPES Registry Identity

NPI1770695850
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTYLER INTERNAL MEDICINE ASSOCIATES, P.A.
Location Address1910 ROSELAND BLVDTyler, TX 75701-4246
Mailing Address1910 Roseland BlvdTyler, TX 75701-4246 · (903) 533-0644 · Fax (903) 533-0441
Phone(903) 533-0644
Fax(903) 533-0441
Organization SubpartNo
Authorized OfficialThomas BuzbeeOwner · (903) 533-0644
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1770695850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1910 ROSELAND BLVD, Tyler, TX 75701
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Secondary Practice Location 1

Location 11379 Brad CirLindale, TX 75771-6666 · Phone (903) 881-5165

Other Identifiers 2

Other0059EHTX · Bcbs
Other1770695850TX · Npi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0972490

Tyler Internal Medicine Associates PA · Tyler, TX
Active · expires Nov 9, 2026
CLIA Number45D0972490
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorAmy K. Simpson
Laboratory Phone(903) 533-0644
Laboratory LocationTyler Internal Medicine Associates PA1910 Roseland Blvd, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

JEFFREY S PILETTE FNP
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
WILLIAM CHRISTOPHER WILLIAMS PA-C
Physician Assistant
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
CAROLYN JOHNSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
MR. BLAISE DAVIS FNP-C, FNP-BC
Nurse Practitioner (Family)
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (432) 599-0232
RAMIRO VILLENA MD
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
C. RENEE BRANCH D.O.
Family Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
DR. DANA MICHAEL PARK M.D.
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644
AMY KATHERINE SIMPSON M.D.
Internal Medicine
1910 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 533-0644

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 Tyler Internal Medicine Associates, P.A.'s NPI number?

The NPI number for Tyler Internal Medicine Associates, P.A. is 1770695850. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Tyler Internal Medicine Associates, P.A. located?

Tyler Internal Medicine Associates, P.A. is located at 1910 Roseland Blvd, Tyler, TX 75701. The listed phone number is (903) 533-0644.

What is Tyler Internal Medicine Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Tyler Internal Medicine Associates, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0972490) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tyler Internal Medicine Associates, P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.