Individual provider Active NPI

Hailey Paige Hosak, PAC

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1164475570
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA03443 Issued in TX
Practice address
6029 Belt Line Rd Ste 130
Dallas, TX 75254-9187
Phone
(469) 250-1339
Fax
(469) 398-8040
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA03443 TX
Surgical Physician Assistant 363AS0400X PA03443 TX Primary

Addresses

Primary practice location

6029 Belt Line Rd Ste 130
Dallas, TX 75254-9187

Mailing address

101 S Coit Rd Ste 36-320
Richardson, TX 75080-5743
Phone (469) 250-1339

Other identifiers 1

IdentifierTypeStateIssuer
80130748OtherTXDPS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Management Services LLC Current Accepting new patients
Jeffrey T. Hamm, M.D. Past Accepting new patients
Strategic Surgical Assistants LLC Past Accepting new patients

Locations

101 S Coit Rd
Ste 36320
Richardson, TX 75080
Phone (469) 250-1339

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1164475570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COIT RD STE 36-320",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743",
            "telephone_number": "469-250-1339",
            "fax_number": "469-398-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752549187",
            "telephone_number": "469-250-1339",
            "fax_number": "469-398-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSAK",
        "first_name": "HAILEY",
        "middle_name": "PAIGE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03443",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "80130748",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.