NPIMap

Organization Active NPI

GPS Anesthesia and Pain MGMT, P.C.

  • Anesthesiology Physician
  • Sherman, TX
National Provider Identifier
1245303304
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
GPS ANESTHESIA AND PAIN MGMT, P.C.
Practice address
392 Bentcreek LN
Sherman, TX 75090-5233
Phone
(903) 870-6665
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dave W Stange, CRNA
Title
Owner
Phone
(903) 870-6665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

392 Bentcreek LN
Sherman, TX 75090-5233

Mailing address

PO Box 2125
Sherman, TX 75091-2125
Phone (903) 870-6665

Other identifiers 1

IdentifierTypeStateIssuer
178507301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511000388 TX Part B Supplier - Clinic/Group Practice 6204876071 Receives reassigned benefits from 6 practitioners
Practice locations: Sherman, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1245303304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2125",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750912125",
            "telephone_number": "903-870-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 BENTCREEK LN",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750905233",
            "telephone_number": "903-870-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPS ANESTHESIA AND PAIN MGMT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "STANGE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-870-6665",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178507301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.