Organization Active NPI

Priority Anesthesia & Surgical Associates PA

  • Anesthesiology Physician
  • Addison, TX
National Provider Identifier
1215067400
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PRIORITY ANESTHESIA & SURGICAL ASSOCIATES PA
Practice address
17101 Dallas Pkwy
Addison, TX 75001-7103
Phone
(765) 284-0493
Fax
(765) 284-2434
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Authorized official

Name
Bryce BenbowNPI 1619011053
Title
Owner/Authorized Official
Phone
(972) 884-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

17101 Dallas Pkwy
Addison, TX 75001-7103

Mailing address

PO Box 60032
Dallas, TX 75001
Phone (765) 284-0493

National Provider Directory

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1215067400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60032",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 DALLAS PKWY",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017103",
            "telephone_number": "765-284-0493",
            "fax_number": "765-284-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY ANESTHESIA & SURGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-03-18",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "BENBOW",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-884-4446"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.