Active NPI
Orthopedic & Sports Medicine Associates L.L.P.
- Durable Medical Equipment & Medical Supplies
- Sherman, TX
National Provider Identifier
1417033622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280904802 | Medicaid | TX |
Other names 1
- Durable Medical Equipment
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- 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.