Shiller Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC006825 Issued in TX

Legal business name

SHILLER SURGERY CENTER, INC

Practice address

3323 S Loop 256
Palestine, TX 75801-6977

Phone

(903) 723-1010

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Alan Dale Shiller, M.D.

Title

President

Phone

(903) 723-1010

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1053424960",
    "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": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-723-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILLER SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "SHILLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DALE",
        "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": "ASC006825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112281402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "HH1300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scion Management Group Inc.
• Senior Management Services of Palestine Inc
• Nejla Shami, M.D.
• Sandra Sheperd
• Amy Sheridan, FNP, PMHNP
• Alan Dale Shiller, M.D.
• Barbara Shiller, P.T.
• Tania Shinohara, N.P.
• Rebecca Taylor Shipley, NP
• Carla Shirley, FNP

• Ambulatory Surgical Clinic/Center in Palestine, TX
• Providers in Palestine, 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 Sep 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.