Organization Active NPI

Wolverine Sleep PLLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Sherman, TX
National Provider Identifier
1942468780
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
WOLVERINE SLEEP PLLC
Practice address
23353 US Hwy 82 W
Suite 2
Sherman, TX 75092
Phone
(903) 786-2621
Fax
(903) 786-2634
NPI assigned
May 29, 2008
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Mr. Thomas R Gorczyca, RRT
Title
Owner
Phone
(517) 424-8286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

23353 US Hwy 82 W
Suite 2
Sherman, TX 75092

Mailing address

411 E Russell Rd
Suite 1
Tecumseh, MI 49286-7502
Phone (517) 424-8286

Other identifiers 1

IdentifierTypeStateIssuer
PL7268OtherBCBS OF TEXAS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1942468780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E RUSSELL RD",
            "address_2": "SUITE 1",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492867502",
            "telephone_number": "517-424-8286",
            "fax_number": "517-470-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23353 US HWY 82 W",
            "address_2": "SUITE 2",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-786-2621",
            "fax_number": "903-786-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLVERINE SLEEP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "GORCZYCA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-424-8286",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "PL7268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.