Individual provider Active NPI

Paul Porter Schorr, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Mesquite, TX
National Provider Identifier
1710920707
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
E5927 Issued in TX
Practice address
1324 N Galloway Ave
Ste 105
Mesquite, TX 75149-2440
Phone
(972) 216-4900
Fax
(972) 216-4903
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X E5927 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X E5927 TX Primary

Addresses

Primary practice location

1324 N Galloway Ave
Ste 105
Mesquite, TX 75149-2440

Mailing address

1324 N Galloway Ave
Ste 106
Mesquite, TX 75149-2440
Phone (972) 216-4900

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
I20050831000369 TX Practitioner - Family PracticePractitioner - Geriatric Medicine 0244201663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Physician Assistant

State licenses

LicenseStateTypeSpecialty
E5927TXMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew G Smith MD PA Past Accepting new patients
Living Hope New Boston LLC Past Accepting new patients

Organizations & group practices 2

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1710920707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N GALLOWAY AVE",
            "address_2": "STE 106",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-216-4900",
            "fax_number": "972-216-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N GALLOWAY AVE",
            "address_2": "STE 105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492440",
            "telephone_number": "972-216-4900",
            "fax_number": "972-216-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "PAUL",
        "middle_name": "PORTER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "E5927",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "E5927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.