Organization Active NPI

SDS Practice Solutions LLC

  • Physician Assistant
  • San Angelo, TX
National Provider Identifier
1548827678
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
SDS PRACTICE SOLUTIONS LLC
Practice address
17 S Chadbourne St Ste 301
San Angelo, TX 76903-5864
Phone
(325) 500-5495
Fax
(325) 227-6462
NPI assigned
May 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
William D RobertsNPI 1023122926
Title
Owner
Phone
(325) 500-5495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

17 S Chadbourne St Ste 301
San Angelo, TX 76903-5864

Mailing address

17 S Chadbourne St Ste 301
San Angelo, TX 76903-5864

Other names 1

  • Skye Weight Loss Doing business as

National Provider Directory

National Provider Directory

Locations

17 S Chadbourne St
Ste 301
San Angelo, TX 76903
Phone (325) 500-5495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1548827678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 S CHADBOURNE ST STE 301",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S CHADBOURNE ST STE 301",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035864",
            "telephone_number": "325-500-5495",
            "fax_number": "325-227-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS PRACTICE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "325-500-5495"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skye Weight Loss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.