Individual provider Active NPI

Larry W. Schorn, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Irving, TX
National Provider Identifier
1720076276
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
E1122 Issued in TX
Practice address
1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117
Phone
(972) 259-4781
Fax
(972) 251-1820
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X E1122 TX Primary

Addresses

Primary practice location

1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117

Mailing address

1110 Cottonwood LN
Suite 210
Irving, TX 75038-6117
Phone (972) 259-4781

Other identifiers 2

IdentifierTypeStateIssuer
103531305MedicaidTX
103531306MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E1122TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Specialty Associates of North Texas, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Cardiovascular Specialty Associates of North Texas, P.a. 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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1720076276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-259-4781",
            "fax_number": "972-251-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COTTONWOOD LN",
            "address_2": "SUITE 210",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386117",
            "telephone_number": "972-259-4781",
            "fax_number": "972-251-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORN",
        "first_name": "LARRY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "E1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103531305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103531306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.