Active NPI
Northwest Texas Surgical Hospital, LLC
- General Acute Care Hospital
- Amarillo, TX
National Provider Identifier
1003842212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 000714
- Legal business name
- NORTHWEST TEXAS SURGICAL HOSPITAL, LLC
- Practice address
- 3501 S Soncy Rd
Suite 118
Amarillo, TX 79119-6405 - Phone
- (806) 359-7999
- Fax
- (806) 355-7598
- NPI assigned
- Jun 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clay George Weiss
- Title
- Administrator
- Phone
- (806) 354-7938
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 000714 | TX | Primary |
Addresses
Primary practice location
3501 S Soncy Rd
Suite 118
Amarillo, TX 79119-6405
Mailing address
3501 S Soncy Rd
Suite 118
Amarillo, TX 79119-6405
Phone (806) 359-7999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09421201 | Medicaid | TX |
Other names 1
- Northwest Texas Surgery Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0885205 | Northwest Texas Surgery Center | Certificate of waiver | Apr 15, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Rehabilitation Hospital Unit
- Amarillo, TX
- NPI 1356777502
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284336000000",
"number": "1003842212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 S SONCY RD",
"address_2": "SUITE 118",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196405",
"telephone_number": "806-359-7999",
"fax_number": "806-355-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 S SONCY RD",
"address_2": "SUITE 118",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196405",
"telephone_number": "806-359-7999",
"fax_number": "806-355-7598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST TEXAS SURGICAL HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2010-09-13",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "CLAY",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "806-354-7938",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "000714",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09421201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Texas Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
- Northwest Texas Healthcare System Inc
- Northwest Texas Healthcare System, Inc
- Northwest Texas Healthcare System, Inc.
- Northwest Texas Physician Group
- Northwest Texas Spine Center LLC
- Northwest Texas Surgical Hospital, LLC
- Northwest Texas Wyatt Clinic PLLC
- Northwest Urgent Care, PLLC
- Neal D Nossaman, O.D.
- Daniel M Novak, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.