Mapleshade Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MAPLESHADE SURGERY CENTER, LLC

Practice address

960 Ohio Dr
Plano, TX 75093

Phone

(281) 309-8370

NPI assigned

Sep 13, 2019

Last updated

May 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gaolian Xie

Title

Administrator

Phone

(281) 309-8370

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Xinqing Fan, MD

  • Gastroenterology Physician
  • Richardson, TX
  • NPI 1265636823
  NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1235789041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 OHIO DR, SUITE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935556",
            "telephone_number": "972-599-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 OHIO DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "281-309-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLESHADE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "XIE",
        "authorized_official_first_name": "GAOLIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-309-8370"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthias Marvin Manuel, MD, MPH
• Svetlana Nikolaeva Manukyan, NP
• Saad Mahmoud-Adam Manzoul, MD
• Pechrodeth Mao
• Zhi Mao, M.D
• Rodreck Maponga
• Mohsin Maqbool, M.D.
• Hannan Ahmad Maqsood, MD
• Amr Marawan, M.D.
• Shavon Nicole March, ACNP

• Ambulatory Surgical Clinic/Center in Plano, TX
• Providers in Plano, 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 May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.