Individual provider Active NPI

Tammy Lee Sartor, M.D.

  • Surgery Physician
  • Wichita Falls, TX
National Provider Identifier
1023083839
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K9167 Issued in TX
Practice address
1600 Brook Ave
Wichita Falls, TX 76301-5620
Phone
(940) 723-8465
Fax
(940) 766-1965
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K9167 TX Primary

Addresses

Primary practice location

1600 Brook Ave
Wichita Falls, TX 76301-5620

Mailing address

1600 Brook Ave
Wichita Falls, TX 76301-5620
Phone (940) 723-8465

Other identifiers 1

IdentifierTypeStateIssuer
156969101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000071 TX Practitioner - General Surgery 0446388359 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Surgery CurrentSince Jun 23, 2010 Accepting new patients
Ascension Seton CurrentSince Jun 23, 2010 Accepting new patients
Seton Family of Doctors Current Accepting new patients
United Regional Health Care System Inc Current Accepting new patients
Ascension Seton Current Accepting new patients
Seton Family of Doctors CurrentSince Jan 8, 2018 Accepting new patients
Seton Family of Doctors CurrentSince Jan 8, 2018 Accepting new patients

Locations

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: tsartor14638@unitedregional.medalliesdirect.net
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1023083839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015620",
            "telephone_number": "940-723-8465",
            "fax_number": "940-766-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015620",
            "telephone_number": "940-723-8465",
            "fax_number": "940-766-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARTOR",
        "first_name": "TAMMY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K9167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156969101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.