San Angelo Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008075 Issued in TX

Legal business name

SAN ANGELO AMBULATORY SURGERY CENTER

Practice address

3605 Executive Dr
San Angelo, TX 76904-6884

Phone

(325) 223-0555

Fax

(325) 223-0909

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Sean Allen Guetlein

Title

Administrator

Phone

(325) 223-0555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295716264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046884",
            "telephone_number": "325-223-0555",
            "fax_number": "325-223-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 EXECUTIVE DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769046884",
            "telephone_number": "325-223-0555",
            "fax_number": "325-223-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANGELO AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUETLEIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-223-0555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NON-NETWORK PROVIDER",
            "identifier": "HH0552A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sam'S Club Optical
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• Sams East Inc
• Samuel J. Kasberg, M.D., P.a.
• San Angelo AIDS Foundation
• San Angelo Autism Center, PLLC
• San Angelo Cardiovascular Center of Excellence, PLLC
• San Angelo Emergency Medicine Associates PA
• San Angelo Emergency Physicians
• San Angelo Endodontics, PC

• Ambulatory Surgical Clinic/Center in San Angelo, TX
• Providers in San Angelo, 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 Aug 22, 2020; 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.