Cedar Park Surgeons PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

M7029 Issued in TX

Legal business name

CEDAR PARK SURGEONS PA

Practice address

1410 Medical Pkwy Ste 1
Cedar Park, TX 78613-2543

Phone

(512) 260-3444

Fax

(512) 260-3555

NPI assigned

Oct 9, 2007

Last updated

Jul 22, 2024By 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

Dr. Nicole R Basa, M.D.NPI 1508969452

Title

President

Phone

(512) 260-3444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Nicole Reyes Basa, M.D.

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1508969452
  Medicare reassignment Care Compare group Authorized official
• Alan Richard Abando, M.D.

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1073561387
  Medicare reassignment Care Compare group
• Kelsey Alyse Hayes, RD., LD.

  • Registered Dietitian
  • Cedar Park, TX
  • NPI 1710464458
  NPD
• Karin Elizabeth Salinas, RD, LD

  • Registered Dietitian
  • Cedar Park, TX
  • NPI 1255959862
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1265620991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132543",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 MEDICAL PKWY STE 1",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132543",
            "telephone_number": "512-260-3444",
            "fax_number": "512-260-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "BASA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-260-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "0020QH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190188601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cedar Park Periodontics, PC
• Cedar Park Psychiatry PLLC
• Cedar Park Radiology L.P.
• Cedar Park Smiles, PLLC
• Cedar Park SNF LLC (The Isle at Cedar Ridge)
• Cedar Park Surgery Center LLP (Hill Country Ambulatory Surgery Center)
• Cedar Park Surgery Center, LLC
• Cedar Park Vision PA
• Cedar Smiles Pediatric Dentistry
• Mario Cendan, NP

• Surgery Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.