Organization Active NPI

North Texas Surgical Oncology Associates PLLC

  • Surgical Oncology Physician
  • Plano, TX
National Provider Identifier
1124362504
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
NORTH TEXAS SURGICAL ONCOLOGY ASSOCIATES PLLC
Practice address
4001 W 15TH St Ste 425
Plano, TX 75093-5848
Phone
(972) 696-0030
Fax
(972) 696-0037
NPI assigned
Nov 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Dr. David Smith, M.D.
Title
President
Phone
(972) 578-8877

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086X0206X Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X

Addresses

Primary practice location

4001 W 15TH St Ste 425
Plano, TX 75093-5848

Mailing address

4001 W 15TH St Ste 425
Plano, TX 75093-5848
Phone (972) 696-0030

Other practice location 1

6750 N MacArthur Blvd Ste 257
Irving, TX 75039-2875
Phone (972) 696-0030

Other practice location 2

7777 Forest Ln Ste B216
Dallas, TX 75230-6810
Phone (972) 696-0030

Other practice location 3

4510 Medical Center Dr Ste 302
McKinney, TX 75069-1603
Phone (972) 696-0030

Other practice location 4

5680 Frisco Square Blvd Ste 2200
Frisco, TX 75034-3312
Phone (972) 696-0030

Other identifiers 2

IdentifierTypeStateIssuer
330934601MedicaidTX
0015YGOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

7777 Forest Ln
Ste B216
Dallas, TX 75230
Phone (214) 613-1589

6750 N MacArthur Blvd
Irving, TX 75039
Phone (972) 406-9911

328 W Main St
Ste 200
Lewisville, TX 75057
Phone (972) 221-6222

4510 Medical Center Dr
Ste 302
McKinney, TX 75069
Phone (469) 203-8856

4001 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 608-2025

4001 W 15th St
Ste 425
Plano, TX 75093
Phone (972) 612-2500

3801 W 15th St
Ste 150B
Plano, TX 75075
Phone (214) 501-5427

3801 W 15th St
Ste 105B
Plano, TX 75075

3801 W 15th St
Bldg B
Plano, TX 75075

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1124362504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 425",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935848",
            "telephone_number": "972-696-0030",
            "fax_number": "972-612-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 425",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935848",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6750 N MacArthur Blvd Ste 257",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392875",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Ln Ste B216",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752306810",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691603",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Frisco Square Blvd Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750343312",
            "country_code": "US",
            "telephone_number": "972-696-0030",
            "fax_number": "972-696-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS SURGICAL ONCOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-25",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-578-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330934601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0015YG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.