Individual provider Active NPI

Steven Ray Sanchez, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tyler, TX
National Provider Identifier
1508819541
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M3725 Issued in TX
Practice address
1726 S Beckham Ave
Tyler, TX 75701-4435
Phone
(903) 593-0481
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M3725 TX Primary

Addresses

Primary practice location

1726 S Beckham Ave
Tyler, TX 75701-4435

Mailing address

1726 S Beckham Ave
Tyler, TX 75701-4435
Phone (903) 593-0481

Other identifiers 1

IdentifierTypeStateIssuer
8G6286OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060803000488 TX Practitioner - Pathology 3375556657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M3725TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cpat CurrentSince Jul 1, 2009 Accepting new patients
Pathology Associates of Tyler PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2006 Accepting new patients
Pathology Associates of Tyler PA Anatomic Pathology & Clinical Pathology Current Accepting new patients

Locations

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

1726 S Beckham Ave
Tyler, TX 75701
Phone (903) 593-0481

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1508819541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014435",
            "telephone_number": "903-593-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014435",
            "telephone_number": "903-593-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M3725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G6286",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.