Sandia Neurology Group PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SANDIA NEUROLOGY GROUP PA

Practice address

1515 10TH St
Wichita Falls, TX 76301-4404

Phone

(940) 723-7000

Fax

(940) 723-7007

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Sandra Christopher

Title

Billing Manager

Phone

(940) 723-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Kimberly Jo Pollock, FNP

  • Family Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1932573318
  Medicare reassignment NPD
• Jessica Schultz, M.D.

  • Neurology Physician
  • Sugar Land, TX
  • NPI 1770561912
  Medicare reassignment NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1659516680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014404",
            "telephone_number": "940-723-7000",
            "fax_number": "940-723-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014404",
            "telephone_number": "940-723-7000",
            "fax_number": "940-723-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDIA NEUROLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "940-723-7000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005472-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley E Samuelson, M.D
• San-Sun 2014 Series LLC
• Shelby Sanborn
• Henry Richard Sanchez-Leal, M.D.
• Emily Sanchez, BCBA
• Sanjoy Sundaresan MD PA
• Elisa Reyes Sarip, PT
• Tammy Lee Sartor, M.D.
• Molly Satterfield, SLPA
• Lindsey Scales

• Neurology Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.