Ellis County Surgical Associates

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

H9921 Issued in TX

Legal business name

ELLIS COUNTY SURGICAL ASSOCIATES

Practice address

1626 W Highway 287 Business
Suite 102
Waxahachie, TX 75165-4712

Phone

(972) 923-2600

Fax

(972) 923-1013

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Yomi Joseph Fayiga, M.D.NPI 1790791333

Title

President

Phone

(972) 923-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Yomi J Fayiga, M.D.

  • Colon & Rectal Surgery Physician
  • McKinney, TX
  • NPI 1790791333
  NPD (past) Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1184838526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W HIGHWAY 287 BUSINESS",
            "address_2": "SUITE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654712",
            "telephone_number": "972-923-2600",
            "fax_number": "972-923-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W HIGHWAY 287 BUSINESS",
            "address_2": "SUITE 102",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654712",
            "telephone_number": "972-923-2600",
            "fax_number": "972-923-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS COUNTY SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "FAYIGA",
        "authorized_official_first_name": "YOMI",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-923-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "H9921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128623901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellis County Family Dentistry PLLC (Ellis County Family Dentistry)
• Ellis County Hearing Clinic
• Ellis County Home Medical Equipment, LLC (Ellis County Home Medical Equipment)
• Ellis County Imaging, LLC
• Ellis County Optical, Inc. (Classic Optical)
• Ellis County Surgical Associates PA
• Ellis Emergency Physicians PLLC
• Ellis Surgical Pavilion, LLC
• Brooke Zane Loftis Elmore, DDS
• Ember & Lighthouse Wellness, LLC (Lexi Eller)

• Colon & Rectal Surgery Physician in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.