Individual provider Active NPI

Herman Jorge Splatt Jr., PAC

  • Physician Assistant
  • Sunnyvale, TX
National Provider Identifier
1972524387
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00554 Issued in TX
Practice address
231 S Collins Rd
Sunnyvale, TX 75182-4624
Phone
(972) 892-6770
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00554 TX Primary

Addresses

Primary practice location

231 S Collins Rd
Sunnyvale, TX 75182-4624

Mailing address

425 Dyann Dr
Royse City, TX 75189-8517
Phone (214) 493-1876

Other identifiers 2

IdentifierTypeStateIssuer
216323001MedicaidTX
P01186190OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00554TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Motley Emergency Physicians Past Accepting new patients
Molina Medical Housecall Services, P.a. Past Accepting new patients
Texas Em-1 Medical Services, PA Physician Assistant Past Accepting new patients
Promedical Care PLLC PastSince Feb 8, 2024 Accepting new patients
Medhealth Housecalls Incorporated PastSince Nov 27, 2008 Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Organizations & group practices 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1972524387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 DYANN DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751898517",
            "telephone_number": "214-493-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S COLLINS RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824624",
            "telephone_number": "972-892-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLATT",
        "first_name": "HERMAN",
        "middle_name": "JORGE",
        "name_suffix": "Jr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA00554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216323001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01186190",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.