NPIMap

Organization Active NPI

SPMG Signature Pampa Medical Group

  • Anesthesiology Physician
  • Pampa, TX
National Provider Identifier
1295075976
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SPMG SIGNATURE PAMPA MEDICAL GROUP
Practice address
One Medical Plaza
Attn: Pampa Medical Group Clinic Director
Pampa, TX 79065-2814
Phone
(806) 663-5500
NPI assigned
Feb 18, 2013
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Brad Sterling Morse
Title
Ceo
Phone
(806) 663-5500

Specialties & licenses 1

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

Addresses

Primary practice location

One Medical Plaza
Attn: Pampa Medical Group Clinic Director
Pampa, TX 79065-2814

Mailing address

One Medical Plaza
Attn: Pampa Medical Group Clinic Director
Pampa, TX 79065-2814
Phone (806) 663-5500

Other names 1

  • PMG Anesthesia Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091221000548 TX Part B Supplier - Clinic/Group Practice 3375683436 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Borger, TX; Pampa, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pampa Medical Group Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

107 W 30th Ave
Pampa, TX 79065
Phone (806) 665-1400

3023 Perryton Pkwy
#100
Pampa, TX 79065
Phone (806) 665-0801

3023 Perryton Pkwy
Ste 101
Pampa, TX 79065
Phone (806) 665-0801

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1295075976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL PLAZA",
            "address_2": "ATTN: PAMPA MEDICAL GROUP CLINIC DIRECTOR",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652814",
            "telephone_number": "806-663-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL PLAZA",
            "address_2": "ATTN: PAMPA MEDICAL GROUP CLINIC DIRECTOR",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652814",
            "telephone_number": "806-663-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPMG SIGNATURE PAMPA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-663-5500"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMG Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.