Organization Active NPI

Three Lakes Surgicare PLLC

  • Ambulatory Surgical Clinic/Center
  • West Lake Hills, TX
National Provider Identifier
1366711632
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
P1720 Issued in TX
Legal business name
THREE LAKES SURGICARE PLLC
Practice address
5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254
Phone
(512) 328-8900
NPI assigned
Dec 15, 2011
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Craig H Thomajan, D.P.M.NPI 1760480347
Title
Doctor of Podiatric Medicine
Phone
(512) 328-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X P1720 TX Primary

Addresses

Primary practice location

5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254

Mailing address

5000 Bee Cave Rd Ste 202
West Lake Hills, TX 78746-5254
Phone (512) 328-8900

National Provider Directory

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": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1366711632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVE RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465254",
            "telephone_number": "512-328-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BEE CAVE RD STE 202",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465254",
            "telephone_number": "512-328-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LAKES SURGICARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "THOMAJAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRIC MEDICINE",
        "authorized_official_telephone_number": "512-328-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "P1720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.