Sycamore Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G3402 Issued in TX

Legal business name

SYCAMORE MEDICAL CLINIC

Practice address

1021 S Sycamore St
Palestine, TX 75801-5041

Phone

(903) 729-8328

Fax

(903) 729-5640

NPI assigned

Jun 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael S Gorby, M.D.NPI 1366446049

Title

President

Phone

(903) 729-8328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJAADA

Practitioners 6

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

• Michael Sydnor Gorby, M.D.

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1366446049
  Medicare reassignment Care Compare group NPD Authorized official
• Natalie Karen Burks, FNP

  • Family Nurse Practitioner
  • Palestine, TX
  • NPI 1053304626
  Medicare reassignment Care Compare group NPD
• Stephanie Byrd, FNP

  • Family Nurse Practitioner
  • Palestine, TX
  • NPI 1841754850
  Medicare reassignment Care Compare group NPD
• Debbie Banuelos Hernandez, FNP

  • Family Nurse Practitioner
  • Palestine, TX
  • NPI 1831714856
  Medicare reassignment Care Compare group NPD
• Carolyn F Salter, M.D.

  • General Practice Physician
  • Palestine, TX
  • NPI 1114986395
  Medicare reassignment Care Compare group NPD
• Vanessa Gonzales Martinez

  • Family Nurse Practitioner
  • McAllen, TX
  • NPI 1457819104
  NPD

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1972814788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 S SYCAMORE ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758015041",
            "telephone_number": "903-729-8328",
            "fax_number": "903-729-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "GORBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-729-8328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald C Stevener, O.D.
• Holly Studdard, MMP
• Janet M. Stulce, MCCC
• Tina Katherine Sturgeon, NP
• Maxwell Su, MD
• Jennifer B Symmank, MD
• Tanya M Solis MD PA
• Kimberly Modena Tatum, NURSE PRACTITIONER
• Yvonnee Tatum, LPC
• Eric J Taylor, M.D.

• Internal Medicine Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.