NPIMap

Organization Active NPI

Andrew C. Sambell M.D.P.a.

  • Specialist
  • Waxahachie, TX
National Provider Identifier
1992701296
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3378 Issued in TX
Legal business name
ANDREW C. SAMBELL M.D.P.A.
Practice address
1626 W Hwy 287 Bus
Ste 103
Waxahachie, TX 75165-4728
Phone
(972) 938-8526
Fax
(972) 923-0288
NPI assigned
Jun 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Andrew C Sambell, M.D.NPI 1003996380
Title
Owner/Ceo
Phone
(972) 938-8526

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J3378 TX Primary

Addresses

Primary practice location

1626 W Hwy 287 Bus
Ste 103
Waxahachie, TX 75165-4728

Mailing address

1626 W Hwy 287 Bus.
Suite #103
Waxahachie, TX 75165
Phone (972) 938-8526

Other identifiers 3

IdentifierTypeStateIssuer
030936105MedicaidTX
030936103MedicaidTX
030936104MedicaidTX

National Provider Directory

National Provider Directory

Locations

1626 W Highway 287 Business
Waxahachie, TX 75165

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": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1992701296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W HWY 287 BUS.",
            "address_2": "SUITE #103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-938-8526",
            "fax_number": "972-923-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W HWY 287 BUS",
            "address_2": "STE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654728",
            "telephone_number": "972-938-8526",
            "fax_number": "972-923-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW C. SAMBELL M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "SAMBELL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "972-938-8526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030936105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030936103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030936104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.