NPIMap

Organization Active NPI

Columbia Medical Center of Lewisville Subsidiary LP

  • Ambulatory Surgical Clinic/Center
  • Lewisville, TX
National Provider Identifier
1023069739
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP
Practice address
500 W Main St
Lewisville, TX 75057-3641
Phone
(469) 420-7602
Fax
(972) 420-1073
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Miah Stutts
Title
Cfo
Phone
(972) 420-1556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

500 W Main St
Lewisville, TX 75057-3641

Mailing address

1 Park PLZ
Regulatory Compliance Support, BLDG. 2-3 W
Nashville, TN 37203-6527
Phone (469) 420-7602

Other identifiers 1

IdentifierTypeStateIssuer
094192401MedicaidTX

Other names 1

  • Medical City Lewisville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia Medical Center of Lewisville Subsidiary LP4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1023069739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK PLZ",
            "address_2": "REGULATORY COMPLIANCE SUPPORT, BLDG. 2-3 W",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036527",
            "telephone_number": "469-420-7602",
            "fax_number": "972-420-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "469-420-7602",
            "fax_number": "972-420-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "STUTTS",
        "authorized_official_first_name": "MIAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-420-1556"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094192401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical City Lewisville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.