Healthtexas Provider Network

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

License

008136 Issued in TX

Legal business name

HEALTHTEXAS PROVIDER NETWORK

Doing business as

Baylor Ambulatory Endoscopy Center

Practice address

4708 Alliance Blvd
Plano, TX 75093-5337

Phone

(972) 758-4950

Fax

(972) 758-4955

NPI assigned

Apr 10, 2006

Last updated

May 12, 2009By 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

Mrs. Linda Zahn

Title

Administrator

Phone

(972) 758-4953

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Baylor Ambulatory Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Baylor Ambulatory Endoscopy CenterCCN 45C0001377

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1346203528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935337",
            "telephone_number": "972-758-4950",
            "fax_number": "972-758-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935337",
            "telephone_number": "972-758-4950",
            "fax_number": "972-758-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHTEXAS PROVIDER NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "ZAHN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-758-4953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "TX",
            "license": "008136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172266201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE",
            "identifier": "008136",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAAHC",
            "identifier": "67394",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "HH035A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Ambulatory Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Healthtexas Provider Network
• Healthtexas Provider Network (One Medical with Baylor Scott & White Health)
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network (Symmetry Anesthesia)
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network
• Healthtexas Provider Network

• Endoscopy Clinic/Center in Plano, TX
• Providers in Plano, TX by specialty
• Endoscopy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; 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.