FOUR SEASONS WOMEN'S HEALTH PA - NPI 1881897114 - Obstetrics & Gynecology in Tyler, TX

Q: What is Four Seasons Women's Health PA's NPI number?

The NPI number for Four Seasons Women's Health PA is 1881897114. It was assigned to this organization in the NPPES registry on June 6, 2007.

Q: What is Four Seasons Women's Health PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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About Four Seasons Women's Health Pa NPPES

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

FOUR SEASONS WOMEN'S HEALTH PA (NPI 1881897114) is a healthcare organization registered as an obstetrics & gynecology in Tyler, Texas and active in the NPI registry since June 2007. The organization holds a CLIA Microscopy certificate valid through January 9, 2027 and lists Joni N Cortez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881897114

Entity TypeOrganization

Primary Taxonomy207V00000X

Legal Business NameFOUR SEASONS WOMEN'S HEALTH PA

Location Address2017 RICKETY LNTyler, TX 75703-1706

Mailing Address2017 Rickety LnTyler, TX 75703-1706 · (903) 533-8811 · Fax (903) 593-5511

Phone(903) 533-8811

Fax(903) 593-5511

Organization SubpartNo

Authorized OfficialJoni N CortezOffice Manager · (903) 533-8811

Enumeration DateJune 6, 2007

Last NPPES UpdateJune 18, 2014

✔ NPI 1881897114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · 207V00000X

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2017 RICKETY LN, Tyler, TX 75703

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Other Identifiers 3

Medicaid205733301TX

Medicare PIN0A3997TX

Other207V00000XTX · Taxonomy

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 for Provider-Performed Microscopy Procedures (PPMP) 45D1008116

Four Seasons Women's Health, PA · Tyler, TX

Active · expires Jan 9, 2027

CLIA Number45D1008116

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorSheila Layne

Laboratory Phone(903) 533-8811

Laboratory LocationFour Seasons Women's Health, PA2017 Rickety Lane, Tyler, TX 75703

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

ELISE ALEXANDRA ELLIOTT D.O.

Obstetrics & Gynecology