Gleneagles Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GLENEAGLES SURGERY CENTER, LLC

Practice address

2633 Dallas Pkwy Ste 100
Plano, TX 75093-4715

Phone

(972) 403-7733

Fax

(972) 403-7744

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Jeremiah A Graff, MDNPI 1689831950

Title

DPM

Phone

(142) 205-1078

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Ambulatory surgical center certification: CCN 45C0451327

Legal name

GLENEAGLES SURGERY CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 4, 2025

Last certification

Jan 5, 2026

Ownership / control type

Proprietary

Facility address

2633 Dallas Parkway Suite 202
Plano, TX 75093

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.

• Jeremiah Andrew Graff, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
  • NPI 1689831950
  NPD (past) Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1255000329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934715",
            "telephone_number": "972-403-7733",
            "fax_number": "972-403-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934715",
            "telephone_number": "972-403-7733",
            "fax_number": "972-403-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENEAGLES SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DPM",
        "authorized_official_telephone_number": "142-205-1078",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronit Glantz Leff, RDN
• Michael Markus Glass, PA-C
• Nancy Patricia Glaze, CCC/SLP
• Ryne Joseph Glazier
• Angelica Renee-Durant Gleason, BCABA
• Glennhollow Medical Imaging LLC
• Khara Glick, SLP-A
• Robert Allen Glick, D.O.
• Geoffrey Glynn Glidden, MD
• Global Chiropractic Plano/Frisco

• 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 Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.