Organization Active NPI

Paladin Physician Services PA

  • Internal Medicine Physician
  • Sherman, TX
National Provider Identifier
1689946527
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PALADIN PHYSICIAN SERVICES PA
Practice address
1810 W US Highway 82
Sherman, TX 75092-7069
Phone
(903) 821-9688
Fax
(903) 231-3992
NPI assigned
Feb 8, 2012
Last updated
Jun 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Ms. Vicki J Watson
Title
Cfo
Phone
(903) 821-9688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

1810 W US Highway 82
Sherman, TX 75092-7069

Mailing address

243 Cowan Rd
Celina, TX 75009-0977
Phone (903) 821-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120821000773 TX Part B Supplier - Clinic/Group Practice 6800043100 Receives reassigned benefits from 1 practitioner
Practice locations: Denison, TX
O20241203001209 OK Part B Supplier - Clinic/Group Practice 6800043100 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1689946527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 COWAN RD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090977",
            "telephone_number": "903-821-9688",
            "fax_number": "903-231-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 W US HIGHWAY 82",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927069",
            "telephone_number": "903-821-9688",
            "fax_number": "903-231-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN PHYSICIAN SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-821-9688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.