Foundation Surgery Affiliates of Huntsville

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007171 Issued in TX

Legal business name

FOUNDATION SURGERY AFFILIATES OF HUNTSVILLE

Doing business as

HUNTSVILLE SURGERY CENTER

Practice address

643 Ih 45 S
Huntsville, TX 77340-6434

Phone

(936) 291-3200

Fax

(936) 291-9061

NPI assigned

Sep 7, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Tava Fogle, RN, BSN

Title

Administrator

Phone

(936) 291-3200

Specialties & licenses 1

Addresses

Other names 1

• HUNTSVILLE SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306830195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 IH 45 S",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406434",
            "telephone_number": "936-291-3200",
            "fax_number": "936-291-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 IH 45 S",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406434",
            "telephone_number": "936-291-3200",
            "fax_number": "936-291-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATES OF HUNTSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGLE",
        "authorized_official_first_name": "TAVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-291-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUNTSVILLE SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Fisher, PHARM D
• Atem Fontem
• Ana Maria Forero Sanchez, MD
• Clifford Leon Foster III
• Foundation Imaging Affiliates of Huntsville LLP
• Pamela L Fowler, RN
• Fox Medical
• Anna Beth Foyt
• Fpacp Huntsville LLC
• Frank O. McGehee Jr. M.D.P.a.

• Ambulatory Surgical Clinic/Center in Huntsville, TX
• Providers in Huntsville, 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.