Irving Specialists Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

IRVING SPECIALISTS SURGICAL CENTER LLC

Practice address

6121 N Highway 161 Ste 100
Irving, TX 75038-2270

Phone

(478) 330-5747

Fax

(478) 330-5755

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Donna A Fields

Title

Director, Accounting & Finance

Phone

(478) 330-5747

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Irving Specialists Surgical Center LLCCCN 45C0001736

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Stratus Dominion Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1912350976

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Juan Loredo III, MD

  • Surgery of the Hand (Surgery) Physician
  • Southlake, TX
  • NPI 1417175209
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1083299747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 GA HIGHWAY 96 STE C1",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310474102",
            "telephone_number": "478-330-5747",
            "fax_number": "478-310-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 N HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382270",
            "telephone_number": "478-330-5747",
            "fax_number": "478-330-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING SPECIALISTS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, ACCOUNTING & FINANCE",
        "authorized_official_telephone_number": "478-330-5747"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irving Operations, LLC
• Irving Pharmacy LLC
• Irving Radiological Associates LLP
• Irving Regional Dialysis Center LLC
• Irving Smile Center,PLLC
• Irving Surgery Center, LTD.
• Irving Tiny Teeth, PLLC
• Irving Tooth Fairy PLLC
• Irving Town Center Dental
• Irving TX Dental PLLC

• Ambulatory Surgical Clinic/Center in Irving, TX
• Providers in Irving, 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 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.