Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1063915916
Tyler Regional Hospital Llc
Organization Subpart: NO
Active
NPI Number1063915916
NPI TypeNPI-2 Organization
SpecialtySurgery, Trauma Surgery
Provider Details
NPI1063915916
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2018-03-16
Last Updated2018-03-16
Authorized OfficialStephen Petrovich
EVP
Phone: 6152963000
Mailing Address1 Burton Hills Blvd Ste 250
Nashville, TN 37215-6195
United States
Phone: (615) 296-3000 | Fax: (615) 296-6227
📍 View Map
Primary Practice Address1000 S Beckham Ave
Tyler, TX 75701-1908
United States
Phone: (903) 597-0351 | Fax: (903) 535-6334
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes2086S0127X – Surgery, Trauma Surgery--
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About NPI 1063915916

Tyler Regional Hospital Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063915916. The primary specialty listed is Surgery, Trauma Surgery. The organization is located in Tyler, TX. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-03-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063915916?

NPI 1063915916 belongs to Tyler Regional Hospital Llc, a Surgery, Trauma Surgery in Tyler, TX. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063915916 active?

The current status of NPI 1063915916 in the NPPES registry is Active. The record was last updated on 2018-03-16.

What specialty is NPI 1063915916?

NPI 1063915916 is classified under the taxonomy Surgery, Trauma Surgery. 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 1063915916?

You can verify NPI 1063915916 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 1063915916?

The primary practice address on file for NPI 1063915916 is 1000 S Beckham Ave, Tyler, TX 75701-1908. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063915916 issued?

NPI 1063915916 was first issued (enumerated) on 2018-03-16. The NPPES record was last updated on 2018-03-16.

Practice Location Map

Tyler Regional Hospital Llc is located at 1000 S Beckham Ave, Tyler, TX. Use the map below to find directions or verify the practice location.

📍 1000 S Beckham Ave, Tyler, TX 75701-1908  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Tyler Regional Hospital Llc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-08-02 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162