Organization Active NPI

Orthopedic & Sports Medicine Associates L.L.P.

  • Durable Medical Equipment & Medical Supplies
  • Sherman, TX
National Provider Identifier
1417033622
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ORTHOPEDIC & SPORTS MEDICINE ASSOCIATES L.L.P.
Practice address
321 N Highland Ave Ste 120
Sherman, TX 75092-7371
Phone
(903) 870-7936
Fax
(903) 957-0367
NPI assigned
Oct 31, 2006
Organization subpart
Yes
Parent organization
ORTHOPEDIC & SPORTS MEDICINE ASSOCIATES L.L.P.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Stephen D Sandoval, M.D.
Title
Partner Physician
Phone
(903) 870-7936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TX Primary

Addresses

Primary practice location

321 N Highland Ave Ste 120
Sherman, TX 75092-7371

Mailing address

321 N Highland Ave Ste 120
Sherman, TX 75092-7371
Phone (903) 870-7936

Other identifiers 1

IdentifierTypeStateIssuer
280904802MedicaidTX

Other names 1

  • Durable Medical Equipment Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930085744 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638147671 Practice locations: Sherman, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Jay D Parkin MD

Interoperability endpoints

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1417033622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 120",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-870-7936",
            "fax_number": "903-957-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N HIGHLAND AVE STE 120",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927371",
            "telephone_number": "903-870-7936",
            "fax_number": "903-957-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC & SPORTS MEDICINE ASSOCIATES L.L.P.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC & SPORTS MEDICINE ASSOCIATES L.L.P.",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER    PHYSICIAN",
        "authorized_official_telephone_number": "903-870-7936",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280904802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durable Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Sep 9, 2020; 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.