Organization 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
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 45C0001591
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 2

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

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.

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

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.

Verify at the official NPI Registry.