Organization Active NPI

Surgical Specialists of North Texas, PA

  • Surgery Physician
  • McKinney, TX
National Provider Identifier
1427309145
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J4052 Issued in TX
Legal business name
SURGICAL SPECIALISTS OF NORTH TEXAS, PA
Practice address
7300 Eldorado Pkwy
Suite 260
McKinney, TX 75070-7891
Phone
(972) 747-0440
Fax
(972) 747-0441
NPI assigned
Sep 20, 2012
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Tim B Cole, M.D.
Title
Owner
Phone
(972) 747-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X J4052 TX Primary

Addresses

Primary practice location

7300 Eldorado Pkwy
Suite 260
McKinney, TX 75070-7891

Mailing address

7300 Eldorado Pkwy
Suite 260
McKinney, TX 75070-7891
Phone (972) 747-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121101000461 TX Part B Supplier - Clinic/Group Practice 4183874944 Receives reassigned benefits from 2 practitioners
Practice locations: Irving, TX; Plano, TX; McKinney, TX

National Provider Directory

National Provider Directory

Locations

400 W Ih 635 Fwy
Ste 335
Irving, TX 75063

7300 Eldorado Pkwy
Ste 260
McKinney, TX 75070
Phone (972) 473-7300

5425 W Spring Creek Pkwy
Ste 260
Plano, TX 75024

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5851/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1427309145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY",
            "address_2": "SUITE 260",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "972-747-0440",
            "fax_number": "972-747-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY",
            "address_2": "SUITE 260",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "972-747-0440",
            "fax_number": "972-747-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF NORTH TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-747-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.