Longview Physicians Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

8064 Issued in TX

Legal business name

LONGVIEW PHYSICIANS SURGICAL CENTER

Practice address

1404 N 4TH St
Longview, TX 75601-4756

Phone

(903) 248-9240

Fax

(903) 248-9244

NPI assigned

Nov 23, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jacinda Micheal Benton

Title

Administrator

Phone

(903) 248-9240

Specialties & licenses 1

Addresses

Other names 1

• Physicians' Surgery Center of Longview Doing business as

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194708024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014756",
            "telephone_number": "903-248-9240",
            "fax_number": "903-248-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014756",
            "telephone_number": "903-248-9240",
            "fax_number": "903-248-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGVIEW PHYSICIANS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "JACINDA",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-248-9240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "8064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians' Surgery Center of Longview",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Longview Ophthalmology Associates, PLLC
• Longview Orthopaedic Clinic Association
• Longview Outpatient Physical Therapy LLC
• Longview Outpatient Physical Therapy LLC
• Longview Pediatrics, PLLC
• Longview Primary Care PLLC
• Longview Professional Assistance
• Longview Psychiatric Center PLLC
• Longview Recovery LLC
• Longview Regional Hospital-Based Professional Services

• All providers in Longview, TX
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.