Medical and Surgical Associates of Corsicana

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N2930 Issued in TX

Legal business name

MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA

Practice address

2203 W Lampasas St
Suite 222
Ennis, TX 75119-5644

Phone

(903) 872-3005

Fax

(903) 875-7210

NPI assigned

Dec 6, 2010

Organization subpart

Yes

Parent organization

MEDICAL AND SURGICAL ASSOCIATES OF CORSICANAAs reported in NPPES

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

Authorized official

Name

Mr. Ronnie L Ragsdale

Title

Administrator

Phone

(903) 872-3005

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Medical and Surgical Associates5 organizations share this tax ID, including this one

Part of

Medical and Surgical Associates

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Medical and Surgical Associates

  • Occupational Health Chiropractor
  • Corsicana, TX
  • NPI 1669882361
  NPD tax ID
• Medical and Surgical Associates of Corsicana

  • Occupational Health Chiropractor
  • Corsicana, TX
  • NPI 1326292194
  NPD tax ID
• Medical and Surgical Associates of Corsicana

  • Allergy & Immunology Physician
  • Waxahachie, TX
  • NPI 1649599556
  NPD tax ID
• Medical and Surgical Associates of Corsicana PLLC

  • Surgery Physician
  • Corsicana, TX
  • NPI 1730379900
  NPD tax ID

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1417250960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102415",
            "telephone_number": "903-872-3005",
            "fax_number": "903-872-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 W LAMPASAS ST",
            "address_2": "SUITE 222",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195644",
            "telephone_number": "903-872-3005",
            "fax_number": "903-875-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA",
        "enumeration_date": "2010-12-06",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-872-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N2930",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "G3521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Y226",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1922298199",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189750601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Estela Martinez
• Natasha Mazaheri, D.C.
• Dianne Sharon McKenzie, M.D.
• Tanya Yvonne McNamee, LVN
• Med Southwest, PLLC
• Arley Medrano, DDS, MS
• Meg Sullivan, M.D., PA
• Daniel Miller
• Jacquelyn L Minchew, LPC
• Joshua D Montney, PHARM.D.

• Surgery Physician in Ennis, TX
• Providers in Ennis, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.