Organization Active NPI

Urbanczyk Ortho PLLC

  • Orthopaedic Surgery Physician
  • Sherman, TX
National Provider Identifier
1962036087
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
URBANCZYK ORTHO PLLC
Practice address
300 N Highland Ave
Suite 430 RM 1
Sherman, TX 75092
Phone
(903) 957-2009
Fax
(903) 957-2014
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Jeremy UrbanczykNPI 1518164011
Title
DO
Phone
(903) 957-2009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

300 N Highland Ave
Suite 430 RM 1
Sherman, TX 75092

Mailing address

5501 LBJ Fwy Ste 950
Dallas, TX 75240-2362
Phone (972) 419-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200505001415 TX Part B Supplier - Clinic/Group Practice 9032540133 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman, TX
O20240226003605 OK Part B Supplier - Clinic/Group Practice 9032540133 Receives reassigned benefits from 1 practitioner
Practice locations: Durant, OK

National Provider Directory

National Provider Directory

Locations

204 Medical Dr
Ste 220
Sherman, TX 75092
Phone (903) 893-5330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1962036087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 LBJ FWY STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402362",
            "telephone_number": "972-419-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE",
            "address_2": "SUITE 430 RM 1",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75092",
            "telephone_number": "903-957-2009",
            "fax_number": "903-957-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBANCZYK ORTHO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "URBANCZYK",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "903-957-2009"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.