Active NPI
Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Sherman, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC AND SPORTS MEDICINE
- Practice address
- 321 N Highland Ave Ste 120
Sherman, TX 75092-7371 - Phone
- (903) 870-7936
- Fax
- (903) 957-0367
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Degnan Sandoval, M.D.
- Title
- Partner
- Phone
- (903) 870-7936
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 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
Phone (903) 870-7936
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079825801 | Medicaid | TX | |
| 100755120A | Medicaid | OK | |
| 0095CG | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000486 | TX | Part B Supplier - Clinic/Group Practice | 9638147671 |
Receives reassigned benefits from 1 practitioner 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).
-
- Durable Medical Equipment & Medical Supplies
- Sherman, TX
- NPI 1417033622
9638147671
National Provider Directory
National Provider DirectoryLocations
321 N Highland Ave
Ste 120
Sherman, TX 75092
Phone (903) 870-7936
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Sherman, TX
- NPI 1205986882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1629018395",
"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": "75092",
"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 AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "SANDOVAL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "DEGNAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "903-870-7936",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079825801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100755120A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0095CG",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman, TX
- Oluyemi Aina, MD PLLC (Tri-MED BEHAVIORAL & SLEEP MEDICINE)
- Omni Spine Pain Management, PLLC
- One Family Clinic
- Chimezie Onwu
- Orthopedic & Sports Medicine Associates L.L.P.
- Orthopedic Institute of North Texas PA
- Orthotexas Physicians and Surgeons, PLLC
- Angelica Maria Ortiz, APRN, FNP-C
- Tracy Orwig, LMSW
- Osct, PLLC (Oral Surgery Center of Texoma)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.