Active NPI
Waco Ambulatory Surgery Center, LP
Doing business as Waco Cardiology Cath Lab & Surgery Center
- Ambulatory Surgical Clinic/Center
- Waco, TX
National Provider Identifier
1356718514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WACO AMBULATORY SURGERY CENTER, LP
- Doing business as
- Waco Cardiology Cath Lab & Surgery Center
- Practice address
- 7125 Sanger Rd
Suite E
Waco, TX 76712-4053 - Phone
- (254) 776-0800
- Fax
- (254) 776-0801
- NPI assigned
- Aug 24, 2015
- Last updated
- Nov 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Marie Bemis
- Title
- Authorized Official
- Phone
- (858) 504-5667
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
7125 Sanger Rd
Suite E
Waco, TX 76712-4053
Mailing address
Dept# 6014, PO Box 4417
Houston, TX 77210-4417
Phone (610) 644-8900
Other names 1
- Waco Cardiology Cath Lab & Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151027001361 | TX | Part B Supplier - Ambulatory Surgical Center | 4688983901 | Practice locations: Waco, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Waco Cardiology Cath Lab and Surgery Center
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Waco Cardiology Cath Lab
- Multi-Specialty Clinic/Center
- Waco, TX
- NPI 1285914291
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Waco, TX
- NPI 1891791695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1356718514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT# 6014, PO BOX 4417",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104417",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 SANGER RD",
"address_2": "SUITE E",
"city": "WACO",
"state": "TX",
"postal_code": "767124053",
"telephone_number": "254-776-0800",
"fax_number": "254-776-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WACO AMBULATORY SURGERY CENTER, LP",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "BEMIS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "858-504-5667"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Waco Cardiology Cath Lab & Surgery Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Waco Cardiology Cath Lab & Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waco, TX
- Travis G Volcik, APRN, FNP-C
- An-Randy Truong Vu
- VW Counseling PLLC
- Joe F Wachsmann, R.PH.
- Waco Acupuncture Clinic, PLLC
- Waco Bariatric Surgeons
- Waco Birth Center & Clinic
- Waco Bluebonnet Holdings, Inc. (Bluebonnet Health Services of Waco)
- Waco Bluebonnet Holdings, Inc. (Bluebonnet Health Services Supportive Care)
- Waco Bluebonnet Holdings, Inc. (Bluebonnet Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.