Organization Active NPI

Synergistic Health Care

  • Physician Assistant
  • Commerce, TX
National Provider Identifier
1194181339
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01268 Issued in TX
Legal business name
SYNERGISTIC HEALTH CARE
Practice address
1930 Live Oak St
Commerce, TX 75428-2460
Phone
(903) 246-3305
Fax
(888) 217-8860
NPI assigned
Jan 4, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Mr. Scott Stegall, PA-CNPI 1356323034
Title
Owner
Phone
(903) 246-3305

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01268 TX Primary

Addresses

Primary practice location

1930 Live Oak St
Commerce, TX 75428-2460

Mailing address

PO Box 271
Commerce, TX 75429-0271
Phone (903) 246-3305

National Provider Directory

National Provider Directory

Locations

1930 Live Oak St
Commerce, TX 75428
Phone (903) 246-3305

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1194181339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754290271",
            "telephone_number": "903-246-3305",
            "fax_number": "888-217-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 LIVE OAK ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754282460",
            "telephone_number": "903-246-3305",
            "fax_number": "888-217-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGISTIC HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "STEGALL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-246-3305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.