Keystone Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KEYSTONE SURGICENTER LLC

Practice address

3115 College Park Dr
Suite 101B
The Woodlands, TX 77384

Phone

(936) 321-4345

Fax

(936) 321-4353

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Thomas O Shannon, M.D.

Title

Medical Director

Phone

(936) 321-4345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1386199354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 101B",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 101B",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-321-4345",
            "fax_number": "936-321-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-321-4345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tana G. Key, O.T.
• Keyes to Health PLLC
• Kevin John Keyes, DC
• Keystone Outpatient Services, LLC
• Keystone Plastic Reconstructive Surgery,LLC
• Tara Khadem, LPC, CGP
• Ajmal Aaqib Khalid, DMD
• Salwa T Khalil, RPH
• Hina Nasir Khan, M.D.
• Umme Aiman Khan, BCBA

• Ambulatory Surgical Clinic/Center in The Woodlands, TX
• Providers in The Woodlands, 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 Aug 19, 2016; 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.