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Deactivated NPI 1033112941 Deactivated / Inactive NPI Male Practitioner

Dr. Jon T Ledlie , MD

Neurological Surgery • Tyler, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jon Ledlie has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date December 05, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Ledlie, MD was a registered Neurological Surgery practicing in Tyler, TX. Throughout an active medical career spanning 19 years, Dr. Ledlie provided care at the practice location at 700 OLYMPIC PLAZA CIR until profile deactivation on 2024-12-05.

Practice Location & Contact Primary Location

Practice Address

700 Olympic Plaza Cir
Ste 850

Tyler, TX 757011955

Telephone 9035952441
Fax 9035950743
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Tyler, TX (703 Statewide)

Telehealth Adoption Rate
23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License TX G4483

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Mark Renfro , MD

Neurological Surgery

NPI 1003819913

Doctor of Medicine (M.D.)

Kylie Carimi , APRN, FNP-C

Nurse Practitioner

NPI 1174276737

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Amanda Shipp , NP

Nurse Practitioner

NPI 1336757228

Nurse Practitioner

Rachael Phillips , FNP-C

Nurse Practitioner - Family

NPI 1346056645

Family Nurse Practitioner (Certified)

Dr. Paul Detwiler , MD

Neurological Surgery

NPI 1447253356

Doctor of Medicine (M.D.)

Dr. Thomas Grahm , MD

Neurological Surgery

NPI 1568465474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2024

Record deactivated on December 05, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 757011955 (Tel: 9035952441)

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Updated Business Mailing Address July 08, 2007

Registered at 700 OLYMPIC PLAZA CIR, STE 850, TYLER, TX 757011955 (Tel: 9035952441)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JON LEDLIE, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Neurological Surgery (License #G4483 in TX)

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Initial NPI Registration & Enumeration May 24, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033112941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 08, 2007
Deactivation Date: December 05, 2024

Mailing Address

700 Olympic Plaza Cir, Ste 850

Tyler, TX 757011955

Phone: 9035952441

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.