Organization Active NPI

Strictly Pediatrics Surgery Center of Central Texas, LLC

Doing business as Strictly Pediatrics Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
National Provider Identifier
1164582649
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
STRICTLY PEDIATRICS SURGERY CENTER OF CENTRAL TEXAS, LLC
Doing business as
Strictly Pediatrics Surgery Center
Practice address
1301 Barbara Jordan Blvd.
Suite 100
Austin, TX 78723
Phone
(512) 474-7337
Fax
(512) 474-7336
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Authorized official

Name
Robert Knox
Title
Administrative Director
Phone
(512) 474-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1301 Barbara Jordan Blvd.
Suite 100
Austin, TX 78723

Mailing address

1301 Barbara Jordan Blvd.
Suite 100
Austin, TX 78723
Phone (512) 474-7337

Other names 1

  • Strictly Pediatrics Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000336 TX Part B Supplier - Ambulatory Surgical Center 9537249321 Practice locations: Austin, TX

Ambulatory surgical center certification: CCN 45C0001460

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
STRICTLY PEDIATRICS SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 10, 2007
Last certification
Mar 29, 2017
Ownership / control type
Proprietary
Facility address
1301 Barbara Jordan Blvd, Suite 100
Austin, TX 78723

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1164582649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD.",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-474-7337",
            "fax_number": "512-474-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARBARA JORDAN BLVD.",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78723",
            "telephone_number": "512-474-7337",
            "fax_number": "512-474-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRICTLY PEDIATRICS SURGERY CENTER OF CENTRAL TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "512-474-7337"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strictly Pediatrics Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Strictly Pediatrics Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.