Surgery Associates of Texarkana, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY ASSOCIATES OF TEXARKANA, P.A.

Practice address

1920 Galleria Oaks Dr
Texarkana, TX 75503-4619

Phone

(903) 792-6114

Fax

(903) 792-7876

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Sheila Clark

Title

Office Manager

Phone

(903) 792-6114

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1346298486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034619",
            "telephone_number": "903-792-6114",
            "fax_number": "903-792-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034619",
            "telephone_number": "903-792-6114",
            "fax_number": "903-792-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY ASSOCIATES OF TEXARKANA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-792-6114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA BLUE CROSS",
            "identifier": "77868",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BLUE CROSS",
            "identifier": "00A60J",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE CROSS",
            "identifier": "81394",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CS3854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Jean Stuart, PA-C
• Roy L Sturdivant, CRNA
• Wendy Suen-Lee, PHARM. D.
• Sean M. Summers, OD
• Janet Lynn Sumner, MS RD LD
• Surgery Center of Northeast Texas LLC
• Caroline Jane Sutherland, FNP-C
• Mark Edward Sutherland, M.D.
• Ashli Kay Sutton, LPC
• Kimberly Lynne Sutton, FNP

• Surgery Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.