Swiss Avenue Surgicenter Management LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008097 Issued in TX

Legal business name

SWISS AVENUE SURGICENTER MANAGEMENT LLC

Doing business as

Swiss Avenue Surgicenter LP

Practice address

4103 Swiss Ave Ste B
Dallas, TX 75204-8102

Phone

(214) 821-2001

Fax

(214) 821-2047

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Susan Yvonne Rothman

Title

Administrator

Phone

(214) 821-2001

Specialties & licenses 1

Addresses

Other names 1

• Swiss Avenue Surgicenter LP Doing business as

Locations

Practitioners 2

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

• Andrew A. Konen, M.D.

  • Interventional Pain Medicine Physician
  • Dallas, TX
  • NPI 1467439166
  NPD
• Kelly Ray Will, M.D.

  • Interventional Pain Medicine Physician
  • Dallas, TX
  • NPI 1376556456
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235257130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 SWISS AVE STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048102",
            "telephone_number": "214-821-2001",
            "fax_number": "214-821-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 SWISS AVE STE B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048102",
            "telephone_number": "214-821-2001",
            "fax_number": "214-821-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWISS AVENUE SURGICENTER MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-821-2001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swiss Avenue Surgicenter LP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelli V Swing, MED, ATC, LAT, CES
• Clinton Jay Swingle, ANP
• Adrianne L Swinney, ATC, LAT
• Judy Ann Swint, PH.D., LPC, LMFT
• Swiss Avenue Birth and Wellness Collaborative
• Casey Ahn Switzer
• Swope Dental
• Alexis Crashay Swope, NP
• Jonathan G Swope, DDS
• Lynn B. Swygert, M.D.

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, 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 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.