Surgistar LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGISTAR LP

Practice address

8315 Walnut Hill LN
Ste 110
Dallas, TX 75231-4218

Phone

(214) 363-9946

Fax

(214) 389-1953

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Rebecca H Wallace, RN

Title

Administrator

Phone

(214) 363-9946

Specialties & licenses 1

Addresses

Other names 1

• Woodhill Surgery Center Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001506

Legal name

WOODHILL SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 26, 2010

Last certification

Apr 19, 2013

Ownership / control type

Proprietary

Facility address

8315 Walnut Hill Lane Suite 110
Dallas, TX 75231

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

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John William Gannon, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1205253614
  NPD (past)
• John David Wallace, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1811978349
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1386877439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8315 WALNUT HILL LN",
            "address_2": "STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314218",
            "telephone_number": "214-363-9946",
            "fax_number": "214-389-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8315 WALNUT HILL LN",
            "address_2": "STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314218",
            "telephone_number": "214-363-9946",
            "fax_number": "214-389-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGISTAR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-363-9946",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodhill Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surgical Pathologists of Dallas
• Surgical Safety, PLLC
• Surgical Services of Texas PLLC
• Surgical Specialists of South Dallas, PA
• Surgical Staffing, LLC
• Surgpro Associates LLC
• Ekta Suri
• Alina Maria Suris, PH.D.
• Renata Surles, PHARMD
• Amy Surls, LPC

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, 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 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.