Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669765350 Individual Practitioner Female Practitioner

Dr. Mary Kathryn Eagleton , MD

Pediatrics • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mary Eagleton, MD is a registered healthcare professional specializing in Pediatrics in Tyler, TX. Practice services are available at 8288 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8288 S Broadway Ave

Tyler, TX 757035262

Telephone 9036067060
Associated Practice Facility / Clinic
🏢 Christus Trinity Clinic Facility NPI 1285684225

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
55 Specialists

Practicing in Tyler, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX BP1-0039531

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
376763401 (TX)
Commercial Insurance / Payer ID Medicare Rail Road
P01912556 (TX)
Commercial Insurance / Payer ID Tricare
75-2616977-118 (TX)
Commercial Insurance / Payer ID Bcbs
8HE842 (TX)

Secondary Practice Locations

1912 W. 35th St, Children's Medical Group

Austin, TX 78703

Phone: 5124515161

1912 W. 35th St, Children's Medical Group

Austin, TX 78703

Phone: 5124515161

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1003881608

Doctor of Medicine (M.D.)

Dr. Andrea Ellis , MD

Family Medicine

NPI 1063661148

Doctor of Medicine (M.D.)

NPI 1063875292

Doctor of Medicine (M.D.)

Dr. Roy Wadle , DO

Family Medicine

NPI 1194743278

Doctor of Osteopathic Medicine (D.O.)

Dr. Kurt Nielsen , MD

Emergency Medicine

NPI 1235275314

Doctor of Medicine (M.D.)

Dr. John Page , DO, PA

Family Medicine

NPI 1376549246

Doctor of Osteopathic Medicine (D.O.), Physician Assistant

Career & Practice History Timeline

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

13 Historical Events
NPI Profile Active December 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2017

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Business Mailing Address December 01, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

👤
Provider Name / Credentials Updated December 01, 2017

Recorded as MARY EAGLETON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2017

Pediatrics (License #BP1-0039531 in TX)

📍
Updated Practice Location October 16, 2017

Registered at 8288 S BROADWAY AVE, TYLER, TX 757035262 (Tel: 9036067060)

📍
Updated Business Mailing Address October 16, 2017

Registered at PO BOX 846098, DALLAS, TX 752846098 (Tel: 9033246400)

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2014

Registered at 1912 W. 35TH ST, CHILDREN'S MEDICAL GROUP, AUSTIN, TX 78703 (Tel: 5124515161)

📍
Updated Business Mailing Address May 16, 2014

Registered at 1912 W. 35TH ST, CHILDREN'S MEDICAL GROUP, AUSTIN, TX 78703 (Tel: 2145371400)

👤
Provider Name / Credentials Updated May 16, 2014

Recorded as MARY EAGLETON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Pediatrics (License #BP1-0039531 in TX)

🟢
Initial NPI Registration & Enumeration May 27, 2011

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: 1669765350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2011
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

Po Box 846098

Dallas, TX 752846098

Phone: 9033246400

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.