Port Arthur Day Surgery Center LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000155 Issued in TX

Legal business name

PORT ARTHUR DAY SURGERY CENTER LTD

Practice address

3449 Gates Boulevard
Port Arthur, TX 77642

Phone

(409) 983-6144

Fax

(409) 983-2739

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John A Iceton, MD

Title

Chairman

Phone

(409) 983-6144

Specialties & licenses 1

Addresses

Other names 1

• Ambulatory Surgical Center Other name

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013089127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3915",
            "address_2": "3449 GATES BOULEVARD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-983-6144",
            "fax_number": "409-983-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 GATES BOULEVARD",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-983-6144",
            "fax_number": "409-983-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ARTHUR DAY SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ICETON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "409-983-6144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ambulatory Surgical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry Douglas Plunk Sr., R.PH.
• PM Management - Golden Triangle NC III LLC
• PM Management - Golden Triangle NC IV LLC
• Port Arthur Cardiac Cath Lab, LP
• Port Arthur Chiropractic
• Port Arthur Emergency Physicians
• Port Arthur Family Dentistry, PLLC
• Port Arthur Isd
• Port Arthur Pathology Association
• Port Arthur Smiles Inc

• Ambulatory Surgical Clinic/Center in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.