Tana Sims Sandel, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 04032 Issued in TX

Practice address

1718 S Henderson Blvd
Kilgore, TX 75662-3566

Phone

(903) 983-2110

Fax

(903) 986-1186

NPI assigned

Aug 19, 2005

Last updated

May 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sabine Valley Regional MHMR CenterGroup PAC ID 0143202580, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sabine Valley Regional MHMR Center

  dba Community Healthcore

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1639232002
  Medicare reassignment Care Compare group
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1033891148

  Physician Assistant

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Gilmer, TX
  • NPI 1275215303

  Physician Assistant

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
  • NPI 1396427852

  Physician Assistant

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Clarksville, TX
  • NPI 1407553886

  Physician Assistant

  Medicare reassignment NPD
• Core Health Systems

  • Federally Qualified Health Center (FQHC)
  • Texarkana, TX
  • NPI 1144902602
  Medicare reassignment
• Core Health Systems

  • General Practice Physician
  • Jefferson, TX
  • NPI 1851235204
  Medicare reassignment
• Sabine Valley Regional MHMR Center

  dba Community Healthcore

  • Family Medicine Physician
  • Longview, TX
  • NPI 1841835022
  NPD

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1861484370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5500",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757125500",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 S HENDERSON BLVD",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756623566",
            "telephone_number": "903-983-2110",
            "fax_number": "903-986-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDEL",
        "first_name": "TANA",
        "middle_name": "SIMS",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA 04032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BILLING NUMBER",
            "identifier": "8Y1431",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rescue Angels Adult Care (Rescue Angels Childcare Academy)
• Michelle Alvarado Reynolds, FNP-C
• Jadie Bolton Roberts, OD
• Jerry Ted Roberts, O.D.
• Luther Daniel Sammons, MA, LPC
• Anna Saylor, RN
• Sharla Shead
• Yolanda Sherrod
• Angela Joan Shupak, COTA
• Silvertooth and Whinery Family Dental

• Physician Assistant in Kilgore, TX
• Providers in Kilgore, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.