ST. ALYSSA MEDICAL CENTER
NPI 1710425541
Family Medicine in Nacogdoches, TX

Active since January 31, 2017
2805 NORTH ST STE E, NACOGDOCHES, TX 75965(936) 205-3171(936) 205-3174 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 28, 2022, Nov 10, 2022, Aug 11, 2022 and 3 more (6 updates tracked since 2017).

  • Organization
  • Family Medicine

About ST. ALYSSA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for St. Alyssa Medical Center, a primary care provider established in Nacogdoches, Texas operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1710425541 assigned on January 2017. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Michael L. Bishop Clinic Director (Clinic Director)

NPI
1710425541 Verify this NPI
Provider Name
ST. ALYSSA MEDICAL CENTER
Entity Type
Organization
Location Address
2805 NORTH ST STE E NACOGDOCHES, TX 75965
Location Phone
(936) 205-3171
Location Fax
(936) 205-3174
Mailing Address
PO BOX 635312 NACOGDOCHES, TX 75963
Mailing Phone
(936) 645-1586
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2017
Last Update Date
11-28-2022
Code Navigator

A primary care provider (PCP) like St. Alyssa Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR1300XAmbulatory Health Care Facilities

Clinic/Center
Rural Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MICHAEL L. BISHOP CLINIC DIRECTOR

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(936) 645-1586

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710425541, enumerated as an "organization" on January 31, 2017.

The provider is located at 2805 NORTH ST STE E NACOGDOCHES, TX 75965 and the phone number is (936) 205-3171.

Family Medicine with taxonomy code 207Q00000X.