Elm Place Ambulatory Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0166 Issued in TX

Legal business name

ELM PLACE AMBULATORY SURGICAL CENTER

Practice address

2217 S Danville Dr
Abilene, TX 79605-4719

Phone

(325) 695-0600

NPI assigned

Aug 23, 2006

Last updated

Jul 16, 2007By 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

Austin I King, M.D.NPI 1144337510

Title

Co-Owner

Phone

(325) 695-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Elm Place Ambulatory Surgical CenterCCN 45C0001065

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Austin I King, M.D.

  • Otolaryngology Physician
  • Abilene, TX
  • NPI 1144337510
  NPD Authorized official
• Beil Cory Brown, D.P.M.

  • Podiatrist
  • Abilene, TX
  • NPI 1003853011
  NPD
• Kristen Mitchell

  • Obstetrics & Gynecology Physician
  • Abilene, TX
  • NPI 1912394917
  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1376650911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054719",
            "telephone_number": "325-695-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 S DANVILLE DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054719",
            "telephone_number": "325-695-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM PLACE AMBULATORY SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "325-695-0600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "0166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Roxanne Elliott, LM, CPM
• Gwyndolyn Ellis, RN, LAT, ATC
• Kaitlyn M Ellis, M.S., CCC-SLP
• Sommer Marie Ellis, AU.D.
• Stacia Ann Ellison, LPC, NCC
• Gabrielle Krysten Elsen
• Ember & Tide Orchard Collective, LLC (Tide & Orchard Counseling)
• Lisa Leanne Embrey
• Eric Darnell Emerson I, RPH
• Kristin Emerson, OT

• Ambulatory Surgical Clinic/Center in Abilene, TX
• Providers in Abilene, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.