Alysia Shannon Horbaczewski, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

HORB-ZXTY4O Issued in NC

Practice address

230 E Sycamore St Ste 100
Sherman, TX 75090-5012

Phone

(903) 202-2900

NPI assigned

Mar 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alysia Shannon Hall Former name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CGHIBD/Endpoint/CGHIBD

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.

• Texoma Physicians Group, PLLC

  • Pediatrics Physician
  • Sherman, TX
  • NPI 1295395911
  NPD (past)

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718409600000",
    "number": "1033796099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E SYCAMORE ST STE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905012",
            "telephone_number": "903-202-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E SYCAMORE ST STE 100",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905012",
            "telephone_number": "903-202-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 N Standridge Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754093443",
            "country_code": "US",
            "telephone_number": "972-464-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORBACZEWSKI",
        "first_name": "ALYSIA",
        "middle_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "HORB-ZXTY4O",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "HALL",
            "middle_name": "SHANNON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Home Town Dental of Sherman PC
• Talitha Downing Hooker, FNP
• Rachel Hoover
• Hope for Texoma
• Hope Therapy LLC
• Horizon Respiratory Medical Supply, LLC
• Alexandria Horn
• Arthur H Horn, CASE MANAGER
• Diana Rena Horn, LVN
• Deidre Hornback, OTR

• Pediatrics Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.