Thomas S Sudela MD PA

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

203BX0001X Issued in TX

Legal business name

THOMAS S SUDELA MD PA

Practice address

2504 Ridge Rd Ste 201
Rockwall, TX 75087-2571

Phone

(972) 722-0404

Fax

(972) 722-7082

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jana Morgan

Title

Practice Manager

Phone

(214) 269-3326

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lake Pointe Women's Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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

• Thomas Stephen Sudela, MD

  • Obstetrics & Gynecology Physician
  • Rockwall, TX
  • NPI 1093704686
  Medicare reassignment NPD
• Desence A Diaz-Doolin

  • Advanced Practice Midwife
  • Rockwall, TX
  • NPI 1093699522
  NPD
• Maria del Mar Diaz Bonilla, MD

  • Obstetrics & Gynecology Physician
  • Rowlett, TX
  • NPI 1770063935
  NPD (past)
• Ashley B. Dressen, P.A.

  • Physician Assistant
  • Rowlett, TX
  • NPI 1629510342
  NPD (past)
• Gwendolyn Luecke

  • Obstetrics & Gynecology Physician
  • Austin, TX
  • NPI 1407266059
  NPD (past)
• Christine W. Moore, FNP

  • Gerontology Nurse Practitioner
  • Forney, TX
  • NPI 1215490875
  NPD (past)
• Shayna Christine Yudizky, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Rowlett, TX
  • NPI 1417640665
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1821186545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750300944",
            "telephone_number": "214-269-3326",
            "fax_number": "214-269-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD STE 201",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872571",
            "telephone_number": "972-722-0404",
            "fax_number": "972-722-7082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Scenic Dr",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750882695",
            "country_code": "US",
            "telephone_number": "972-475-7555",
            "fax_number": "972-412-0935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS S SUDELA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-269-3326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "203BX0001X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "00G86P",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093907601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Pointe Women's Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brent Theis, M.A., LPC-S
• Theravention LLC
• Theresa M. Conyac MD PLLC
• Vanessa Thibodeaux
• Thomas R Conner DDS PA
• Amber Lynne Thomas, PA-C
• Betsy Thomas, R.D, L.D
• Brooke Thomas, OTR
• Jeanine Rose Thomas, P.T.
• Kimberly Lynn Thomas, PSY.D.

• Obstetrics Physician in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Obstetrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.