Addison Surgical Services, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ADDISON SURGICAL SERVICES, PLLC

Practice address

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Phone

(214) 370-3535

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Park, MDNPI 1598722654

Title

President

Phone

(214) 370-3535

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Eunkoo Park, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Addison, TX
  • NPI 1598722654
  Authorized official Same address or phone

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1104342948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773878308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON SURGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-370-3535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Chiropractic, PA (Addison Chiropractic Clinic)
• Addison Headache Associates, LLC
• Addison Internal Medicine
• Addison Internal Medicine PA
• Addison Interventional Pain Management
• Addison Syndicated Labs
• Elizabeth L Adkison, CO, LO
• Haley Danielle Adrion
• Advanced Bone and Joint of Texas, PLLC (Advanced Bone and Joint of Texas)
• Advanced Pain Management Specialists, LLC (Clearway Pain Solutions)

• Surgical Physician Assistant in Addison, TX
• Providers in Addison, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.