Steven Robert Souders, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5400 Highway 121 Ste 100
Colleyville, TX 76034-5929

Phone

(817) 502-7411

Fax

(817) 502-7412

NPI assigned

Aug 4, 2015

Sex

Male

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Pain and Wellness PAGroup PAC ID 1557378601, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/58cb9d91-2948-4de3-bf50-27f99b3c33d9/
• Direct secure messaging: steven.souders.p1@direct.apw.nextgenshare.com
• 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 and National Provider Directory roles.

• American Pain & Wellness PA

  • Pain Medicine (Anesthesiology) Physician
  • Allen, TX
  • NPI 1306857305
  Medicare reassignment Care Compare group
• Axis Brain and Back Institute PLLC

  • Neurological Surgery Physician
  • Southlake, TX
  • NPI 1689085193
  Medicare reassignment
• American Pain & Wellness PA

  • Pain Medicine (Anesthesiology) Physician
  • Colleyville, TX
  • NPI 1376205864
  NPD
• First Baptist Medical Center, LLC

  • Special Hospital
  • Dallas, TX
  • NPI 1750749966
  NPD

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1871979674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 GABLES CT STE 201",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757648",
            "telephone_number": "469-326-5115",
            "fax_number": "469-326-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 HIGHWAY 121 STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345929",
            "telephone_number": "817-502-7411",
            "fax_number": "817-502-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDERS",
        "first_name": "STEVEN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8874NV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solace Anesthesia Group
• Christopher Eric Solomon, PHARMD
• Kristen A Sorensen, APRN
• Angela Elizabeth Soto, OT
• Jonathan Soto, MD
• Southlake Foot & Wellness Center LLC
• Logan Spacek
• Heather Lynn Spengler, PMHNP-BC
• Sreedevi Kodali, M.D., PLLC
• St Agatha Caregivers Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.