Active NPI
TSC Surgical Group PLLC
- Surgical Oncology Physician
- Richardson, TX
National Provider Identifier
1013264118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- K3263
- Legal business name
- TSC SURGICAL GROUP PLLC
- Practice address
- 2805 E President George Bush Hwy
Richardson, TX 75082-3561 - Phone
- (972) 619-3500
- NPI assigned
- Aug 7, 2012
- 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
- Dhiresh Rohan Jeyarajah, MD
- Title
- Owner/Physician
- Phone
- (972) 619-3500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | K3263 | TX | Primary |
Addresses
Primary practice location
2805 E President George Bush Hwy
Richardson, TX 75082-3561
Mailing address
PO Box 674096
Dallas, TX 75267-4096
Phone (972) 619-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310761701 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512086400000",
"number": "1013264118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674096",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674096",
"telephone_number": "972-619-3500",
"fax_number": "214-272-8985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 E PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823561",
"telephone_number": "972-619-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TSC SURGICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-07",
"last_updated": "2017-12-01",
"status": "A",
"authorized_official_last_name": "JEYARAJAH",
"authorized_official_first_name": "DHIRESH",
"authorized_official_middle_name": "ROHAN",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "972-619-3500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": "TX",
"license": "K3263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310761701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.