| NPI | 1063407203 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-09-14 |
| Last Updated | 2015-08-03 |
| Mailing Address | 2608 Mcdonald Rd, Ste 100 Tyler, TX 75701-5934 United States Phone: (903) 595-5514 📍 View Map |
| Primary Practice Address | 2608 Mcdonald Rd, Ste 100 Tyler, TX 75701-5934 United States Phone: (903) 595-5514 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TX | 038899308 | UNITED HEALTHCARE |
| MEDICAID | TX | 128691601 | — |
| Other (non-Medicare) | TX | 452105 | AETNA |
| Other (non-Medicare) | TX | 89427J | BCBS OF TEXAS |
| Other (non-Medicare) | — | P1578565 | OXFORD HEALTH PLANS |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | TX | H1563 |
| No | 207RI0011X – Internal Medicine, Interventional Cardiology | TX | H1563 |
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About NPI 1063407203
Robert John Carney MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063407203. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Tyler, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063407203?
NPI 1063407203 belongs to Robert John Carney MD, a Internal Medicine, Cardiovascular Disease in Tyler, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063407203 active?
The current status of NPI 1063407203 in the NPPES registry is Active. The record was last updated on 2015-08-03.
What specialty is NPI 1063407203?
NPI 1063407203 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063407203?
You can verify NPI 1063407203 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063407203?
The primary practice address on file for NPI 1063407203 is 2608 Mcdonald Rd, Tyler, TX 75701-5934. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063407203 issued?
NPI 1063407203 was first issued (enumerated) on 2005-09-14. The NPPES record was last updated on 2015-08-03.
Practice Location Map
Robert John Carney is located at 2608 Mcdonald Rd, Tyler, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Robert John Carney. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063407203. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | H1563 | TX |
| Internal Medicine, Interventional Cardiology | H1563 | TX |