Proffer Surgical Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PROFFER SURGICAL CENTER, PLLC

Practice address

1611 Wallace Blvd
Amarillo, TX 79106-1799

Phone

(806) 354-4900

Fax

(806) 352-4987

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

PROFFER SURGICAL ASSOCIATES, LLPAs reported in NPPES

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

Authorized official

Name

Paul L Proffer, MDNPI 1962488676

Title

Owner

Phone

(806) 354-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Proffer Surgical CenterCCN 45C0001681

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Proffer Surgical Associates LLP

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Proffer Surgical Associates, LLP

  • MOHS-Micrographic Surgery Physician
  • Amarillo, TX
  • NPI 1164441333
  NPPES parent name

Practitioners 4

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.

• Paul L Proffer, M.D.

  • Ophthalmology Physician
  • Amarillo, TX
  • NPI 1962488676
  Authorized official Same address or phone
• Meagan Nichole Dolezal, CRNA

  • Certified Registered Nurse Anesthetist
  • Amarillo, TX
  • NPI 1548846009
  NPD (past)
• Travis Gray

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
  • NPI 1538631866
  NPD (past)
• Liana H Proffer, MD

  • MOHS-Micrographic Surgery Physician
  • Amarillo, TX
  • NPI 1891770046
  NPD (past)

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1164986683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-354-4900",
            "fax_number": "806-352-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061799",
            "telephone_number": "806-354-4900",
            "fax_number": "806-352-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFFER SURGICAL CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFFER SURGICAL ASSOCIATES, LLP",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "PROFFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-354-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Med Pharmacies, Inc. (Pro Med LTC)
• Professional Case Management of Texas
• Professional Physical Therapy Services LLC (Advanced Health Systems)
• Professional Solutions
• Proffer Surgical Associates, LLP
• Liana H Proffer, MD
• Patrick Jonathan Proffer, M.D.
• Paul L Proffer, M.D.
• Progressive Step Corp (Progressive Step Rehabilitation Services)
• Prostep at Amarillo

• Ambulatory Surgical Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.