Organization Active NPI

Innovations Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Palestine, TX
National Provider Identifier
1396357372
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
INNOVATIONS SURGERY CENTER, LP
Practice address
300 Willow Creek Pkwy Ste 100
Palestine, TX 75801-4433
Phone
(903) 729-2888
NPI assigned
Aug 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Authorized official

Name
Melinda Matulia
Title
Accountant
Phone
(832) 656-7753

Specialties & licenses 1

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

Addresses

Primary practice location

300 Willow Creek Pkwy Ste 100
Palestine, TX 75801-4433

Mailing address

300 Willow Creek Pkwy Ste 100
Palestine, TX 75801-4433
Phone (903) 729-2888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597881600000",
    "number": "1396357372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WILLOW CREEK PKWY STE 100",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014433",
            "telephone_number": "903-729-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WILLOW CREEK PKWY STE 100",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758014433",
            "telephone_number": "903-729-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A",
        "authorized_official_last_name": "MATULIA",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "832-656-7753"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.