Azalea Orthopedic & Sports Medicine Clinic PA
NPI 1699765107ActiveOrganization· Orthopaedic Surgery· Tyler, TX
Orthopaedic Surgery in Tyler, Texas, registered in NPPES in October 2005. The authorized official on file is Heidi Ebert, Billing Supervisor.
Overview
| NPI | 1699765107 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2005 |
| Last updated in NPPES | Jan 28, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0863040001 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Orthopaedic Surgery providers in Tyler
- 1770144701
- 1104433739
- 1144837691
- 1982201190
- 1497082077
- 1245302819
- 1427552843
- 1679579734
- 1831537414
- 1720022650
- 1457398935
- 1750379061