OrganizationActive
Foot Specialists of Tyler, PA
NPI 1114109170 · Durable Medical Equipment & Medical Supplies · Tyler, TX
Provider details
- NPI number
- 1114109170
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Charles Rhodus, Owner(903) 592-7200
- License
- L1375 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
649 S Broadway Ave
Suite 2
Tyler, TX 75701-1677
Phone: (903) 592-7200
Fax: (903) 592-7211
Street-level locationGet directions
Mailing address
649 S. Broadway Ave
Tyler, TX 75701
Registry dates
- Enumerated
- 2007-12-03
- Last updated
- 2007-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.