Organization Active NPI

Premier Surgical Specialties, PLLC

  • Surgery Physician
  • McKinney, TX
National Provider Identifier
1245656024
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PREMIER SURGICAL SPECIALTIES, PLLC
Practice address
7300 El Dorado Parkway
Suite 260
McKinney, TX 75070-3826
Phone
(972) 747-0440
Fax
(972) 747-0441
NPI assigned
Mar 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Shanna Kadane
Title
Registered Agent
Phone
(214) 373-9092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

7300 El Dorado Parkway
Suite 260
McKinney, TX 75070-3826

Mailing address

PO Box 803091
Dallas, TX 75380-3091
Phone (972) 747-0440

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1245656024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 803091",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753803091",
            "telephone_number": "972-747-0440",
            "fax_number": "972-747-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 EL DORADO PARKWAY",
            "address_2": "SUITE 260",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703826",
            "telephone_number": "972-747-0440",
            "fax_number": "972-747-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL SPECIALTIES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "KADANE",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "214-373-9092"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.