Christus Santa Rosa Outpatient Surgery - New Braunfels, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP

Practice address

1305 Wonder World Dr Ste 105
San Marcos, TX 78666-7502

Phone

(512) 353-8161

Fax

(512) 353-8255

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gary K Ruff

Title

President

Phone

(469) 282-2637

Specialties & licenses 2

Addresses

Other names 1

• CHRISTUS Physicians Surgery Center - San Marcos Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Christus Santa Rosa Outpatient Surgery - New Braunfels, LP

  • Ambulatory Surgical Clinic/Center
  • New Braunfels, TX
  • NPI 1447212121

  2860470945

  Same PAC ID

Listed as

Christus Santa Rosa Outpatient Surgery New Braunfels LPCCN 45C0001226

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Christus Santa Rosa Health Care Corporation

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1194787218

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles F. Lano Jr., M.D.

  • Otolaryngology Physician
  • New Braunfels, TX
  • NPI 1124092671
  NPD (past)
• Jesse Moss Jr., M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Live Oak, TX
  • NPI 1851399463
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1306201124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 105",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "512-353-8161",
            "fax_number": "512-353-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WONDER WORLD DR STE 105",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667502",
            "telephone_number": "512-353-8161",
            "fax_number": "512-353-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-282-2637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS Physicians Surgery Center - San Marcos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Lynn Christensen, FNP
• Randall Shane Christensen, D.C.
• Hannah Christiansen, DPT
• Charles Augustus Christopher Sr., M.D.
• Christus Santa Rosa Health Care Corporation
• City of San Marcos
• Barbara Jane Clark
• Marianne Paulos Clay II, N.P.
• Kimberly Dawn Clemons, LCDC
• Kathie Norfleet Cleveland, MA LPC LMFT

• Ambulatory Surgical Clinic/Center in San Marcos, TX
• Providers in San Marcos, 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 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.