SDG Physicians Group PA

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

SDG PHYSICIANS GROUP PA

Doing business as

SDG Physicians Group PA

Practice address

620 E Southlake Blvd
Southlake, TX 76092-6236

Phone

(817) 552-6730

NPI assigned

May 24, 2006

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles C Neff

Title

Chief Operating Officer

Phone

(817) 552-6719

Specialties & licenses 1

Addresses

Other names 1

• SDG Physicians Group PA Doing business as

Locations

Practitioners 1

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.

• Charles E Willis, MD

  • Pain Medicine Physician
  • Desoto, TX
  • NPI 1336142983

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1457306656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926236",
            "telephone_number": "817-552-6730",
            "fax_number": "817-552-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926236",
            "telephone_number": "817-552-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDG PHYSICIANS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "NEFF",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-552-6719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDG Physicians Group PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chad Scoggins, LPC
• Scott a Hrnack MD PA
• Amy Scott, LPC-ASSOCIATE
• Ashley Scott
• Katie Scott
• Carrie Cole Seale
• Julie A. Seeber, PTA
• Seek Health LLC
• Select ASC Developers of Southlake, LLC
• Select Physical Therapy Texas Limited Partnership

• Sleep Disorder Diagnostic Clinic/Center in Southlake, TX
• Providers in Southlake, TX by specialty
• Sleep Disorder Diagnostic Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.