Advanced Surgical Consultants

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N8363 Issued in TX

Legal business name

ADVANCED SURGICAL CONSULTANTS

Practice address

3628 Curbstone Way
Plano, TX 75074-8931

Phone

(214) 642-4665

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Jenna Wishnew, MD

Title

Managing Partner

Phone

(214) 642-4665

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1275918054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 CURBSTONE WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748931",
            "telephone_number": "214-642-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 CURBSTONE WAY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750748931",
            "telephone_number": "214-642-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "WISHNEW",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-642-4665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N8363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285930801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Neuromonitoring Services PLLC
• Advanced Prosthetic Research Inc
• Advanced Prosthetic Restorations
• Advanced Spine Center
• Advanced Surgical Arts, PA
• Advanced Surgical Services of Texas
• Advances Istitute for Joint and Spine Disorders
• Advanta Health Care, Inc.
• Aegis Group Practice LLC
• Aegis Group Practice LLC

• All providers in Plano, TX
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.