Tarrant County Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in TX

Legal business name

TARRANT COUNTY SURGICAL CENTER LLC

Practice address

914 Lipscomb St
Fort Worth, TX 76104-3169

Phone

(817) 348-8600

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Mai L Gallop

Title

Administrator

Phone

(817) 348-8600

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001505

Legal name

TARRANT COUNTY SURGICAL CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 20, 2010

Last certification

May 20, 2010

Ownership / control type

Proprietary

Facility address

914 Lipscomb Street
Fort Worth, TX 76104

Practitioners 1

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

• Ved V Aggarwal, MD

  • Interventional Pain Medicine Physician
  • Fort Worth, TX
  • NPI 1669558136
  NPD (past)

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1083853659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 LIPSCOMB ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 LIPSCOMB ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043169",
            "telephone_number": "817-348-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT COUNTY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "GALLOP",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-348-8600"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "130023",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROS BLUE SHEILD",
            "identifier": "HH199A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarrant County Physicians Choice Homecare LLC (Above & Beyond Home Health & Rehab)
• Tarrant County Public Health
• Tarrant County Public Health Dept.
• Tarrant County Samaritan Housing, Inc. (Samaritan House)
• Tarrant County Senior Living Center, Inc. (The Stayton at Museum Way)
• Tarrant Dental Group PLLC (Texas Endodontic Center - Tarrant)
• Tarrant Diagnostic Imaging, LLC (TDI Molecular Imaging)
• Tarrant Emergency Physicians
• Tarrant Family Practice P.a (Northwest Family Practice Associates)
• Tarrant Gastroenterology Associates PA

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.