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: August 16, 2026.

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

About St. Alyssa Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. ALYSSA MEDICAL CENTER (NPI 1710425541) is a healthcare organization registered as a family medicine in Nacogdoches, Texas and active in the NPI registry since January 2017. The organization lists Michael L. Bishop, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1710425541
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. ALYSSA MEDICAL CENTER
Location Address2805 NORTH ST STE ENacogdoches, TX 75965-2800
Mailing AddressPo Box 635312Nacogdoches, TX 75963 · (936) 645-1586
Fax(936) 205-3174
Organization SubpartNo
Authorized OfficialMichael L. BishopClinic Director · (936) 645-1586
Enumeration DateJanuary 31, 2017
Last NPPES UpdateNovember 28, 20226 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1710425541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2805 NORTH ST STE E, Nacogdoches, TX 75965

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Alyssa Medical Center's NPI number?

The NPI number for St. Alyssa Medical Center is 1710425541. It was assigned to this organization in the NPPES registry on January 31, 2017.

Where is St. Alyssa Medical Center located?

St. Alyssa Medical Center is located at 2805 North St Ste E, Nacogdoches, TX 75965. The listed phone number is (936) 205-3171.

What is St. Alyssa Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St. Alyssa Medical Center was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.