Individual provider Active NPI

Kenton P Schrank, MD

  • Surgery Physician
  • Sherman, TX
National Provider Identifier
1902899693
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E6169 Issued in TX
Practice address
300 N Highland Ave Ste 415
Sherman, TX 75092-7390
Phone
(903) 957-0703
Fax
(903) 868-3717
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E6169 TX Primary

Addresses

Primary practice location

300 N Highland Ave Ste 415
Sherman, TX 75092-7390

Mailing address

300 N Highland Ave Ste 415
Sherman, TX 75092-7390
Phone (903) 957-0703

Other identifiers 2

IdentifierTypeStateIssuer
114563307MedicaidTX
114563302MedicaidTX

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
I20040806001077 TX Practitioner - General Surgery 0042281180 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E6169TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman MD Provider Inc Surgery CurrentSince Dec 1, 2014 Accepting new patients
Sherman MD Provider Inc Surgery CurrentSince Dec 1, 2014 Accepting new patients
Hillcrest Healthcare Services Inc Past Accepting new patients

Locations

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

3401 N Calais Dr
Ste A
Sherman, TX 75090
Phone (903) 870-2094

300 N Highland Ave
Ste 415
Sherman, TX 75092
Phone (903) 868-3717

300 N Highland Ave
Ste 430
Sherman, TX 75092
Phone (903) 868-0133

4206 Retama Cir
Victoria, TX 77901
Phone (361) 582-0611

1908 N Laurent St
Ste 410
Victoria, TX 77901

1908 N Laurent St
Ste 330
Victoria, TX 77901
Phone 36157203332244

Organizations & group practices 3

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1902899693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 415",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-957-0703",
            "fax_number": "903-868-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 415",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-957-0703",
            "fax_number": "903-868-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRANK",
        "first_name": "KENTON",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "E6169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114563307",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114563302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.