Collin County ASC, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COLLIN COUNTY ASC, LP

Doing business as

Medfinity Health Surgery Center - Plano

Practice address

5085 W Park Blvd
Suite 180B
Plano, TX 75093-2593

Phone

(713) 812-7586

NPI assigned

May 23, 2016

Last updated

Nov 9, 2023By 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

Kelly Marie Bemis

Title

Authorized Official

Phone

(858) 722-2358

Specialties & licenses 1

Addresses

Other names 1

• Medfinity Health Surgery Center - Plano 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 1417304171. Details of each certification follow.

• CCN 45C0001617 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 45C0001617

Legal name

MEDFINITY HEALTH SURGERY CENTER PLANO

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 15, 2017

Last certification

May 15, 2017

Ownership / control type

Proprietary

Facility address

5085 W Park Blvd Suite 180B
Plano, TX 75093

Member of 1

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

• Cardiac Cath Lab of Collin County, LP

  dba Medfinity Health - Plano

  • Multi-Specialty Clinic/Center
  • Plano, TX
  • NPI 1336596097

  Member Of

  NPD member

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1417304171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 6029, PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 W PARK BLVD",
            "address_2": "SUITE 180B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750932593",
            "telephone_number": "713-812-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIN COUNTY ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "858-722-2358"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medfinity Health Surgery Center - Plano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medfinity Health Surgery Center - Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Collier, M.D.
• Kailey D Collier, PA-C
• Sarah Colliflower, LPC
• Collin County Adult Clinic (Collin County Community Health Center)
• Collin County Anesthesia Consultants PLLC
• Collin County Cardiology, P.a.
• Collin County Heart Center PLLC
• Collin County Imaging
• Collin County Oncology Associates, PA
• Collin County Urology

• Ambulatory Surgical Clinic/Center in Plano, TX
• Providers in Plano, 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 Nov 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.