Physicians Surgery Center of Waco

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008275 Issued in TX

Legal business name

PHYSICIANS SURGERY CENTER OF WACO

Doing business as

Waco Surgicenter, LLC

Practice address

2201 W Loop 340
Waco, TX 76712-6856

Phone

(254) 772-6200

Fax

(254) 420-3057

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Alan Shiller, M.D.

Title

President

Phone

(903) 723-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waco Surgicenter, LLC Doing business as

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1033223748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-723-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W LOOP 340",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126856",
            "telephone_number": "254-772-6200",
            "fax_number": "254-420-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGERY CENTER OF WACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "SHILLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-723-1010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181299201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waco Surgicenter, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Eileen Phillips, HIS
• Gwendolen Phipps, RN
• Phoenix Care LLC
• Physician Assistant Services of Texas L.L.P
• Physicians Management Services LLC (Injury 1 Treatment Center)
• Catherine Ann Piar, PTA
• Mary Pickler, MS, RD, LD
• Matthew Charles Piechoski, ATC, CES
• Kelley Pierce, LPC
• Raymond Pierre

• Ambulatory Surgical Clinic/Center in Waco, TX
• Providers in Waco, 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 Jun 19, 2008; 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.