Methodist Surgery Center - Keller, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

METHODIST SURGERY CENTER - KELLER, LLC

Doing business as

Methodist Surgery Center - Advanced Foot & Joint Care
Surgery Center - Advanced Foot & Joint Care

Practice address

1220 Keller Pkwy
Keller, TX 76248-3615

Phone

(682) 593-1133

Fax

(817) 380-1234

NPI assigned

Feb 4, 2025

Last updated

Dec 19, 2025By 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

Jennifer B. Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 2

• Methodist Surgery Center - Advanced Foot & Joint Care Doing business as
• Surgery Center - Advanced Foot & Joint Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396559951. Details of each certification follow.

• CCN 45C0451330 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 45C0451330

Legal name

METHODIST SURGERY CENTER -ADVANCED FOOT AND JOINT CARE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 25, 2026

Last certification

Jan 23, 2026

Ownership / control type

Proprietary

Facility address

1220 Keller Parkway
Keller, TX 76248

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

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Methodist Hospitals of Dallas

  dba Methodist Mansfield Medical Center

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1689629941

  Member Of

  NPD member
• North Central Texas Foot & Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Decatur, TX
  • NPI 1811318330

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1396559951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483615",
            "telephone_number": "682-593-1133",
            "fax_number": "817-380-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483615",
            "telephone_number": "682-593-1133",
            "fax_number": "817-380-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST SURGERY CENTER - KELLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Surgery Center - Advanced Foot & Joint Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center - Advanced Foot & Joint Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eronia Melesse
• Lauri Anderwald Melton, OD
• Auristella Mendji
• Dulce M Mercado, MSPT
• Natalie Merkord
• Metro Anesthesiology Affiliates PLLC
• Metroplex Interventional Pain Care (Texas Pain Institute)
• Milk & Honey Medical Services PLLC (Primary Care Simplified PLLC)
• Miller Family Counseling LLC
• Edwin Wayne Miller, LPC

• Ambulatory Surgical Clinic/Center in Keller, TX
• Providers in Keller, 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 Dec 19, 2025; 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.