NPIMap

Organization Active NPI

Endo Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Flower Mound, TX
National Provider Identifier
1114270931
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
ENDO SEDATION LLC
Practice address
1001 Surrey LN
Flower Mound, TX 75022-4234
Phone
(817) 337-3671
Fax
(817) 912-1887
NPI assigned
Oct 17, 2012
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Brandi Wheeler
Title
Anesthesia Support Services
Phone
(817) 402-7526

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary
Anesthesiology Physician 207L00000X

Addresses

Primary practice location

1001 Surrey LN
Flower Mound, TX 75022-4234

Mailing address

550 Reserve St Ste 560
Southlake, TX 76092-1607
Phone (817) 402-7526

Other identifiers 1

IdentifierTypeStateIssuer
00C74YOtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000221 TX Part B Supplier - Clinic/Group Practice 4789845363 Receives reassigned benefits from 667 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Antonio, TX; Lubbock, TX; Plano, TX; North Richland Hills, TX; New Braunfels, TX; Mesquite, TX; Mansfield, TX; San Marcos, TX…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Endo Sedation LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

1411 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 528-2000

8267 Elmbrook Dr
Ste 200
Dallas, TX 75247
Phone (512) 485-5889

2833 Babcock Rd
Ste 120
San Antonio, TX 78229
Phone (210) 575-5150

621 Camden St
Ste 102
San Antonio, TX 78215
Phone (210) 253-3430

1615 N US Highway 75
Sherman, TX 75090
Phone (214) 697-7314

Practitioners & affiliated clinicians

Practitioners 324

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.

View all 324

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1114270931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 RESERVE ST STE 560",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921607",
            "telephone_number": "817-402-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SURREY LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224234",
            "telephone_number": "817-337-3671",
            "fax_number": "817-912-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDO SEDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ANESTHESIA SUPPORT SERVICES",
        "authorized_official_telephone_number": "817-402-7526"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00C74Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.