Beaumont Surgical Affiliates, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000384 Issued in TX

Legal business name

BEAUMONT SURGICAL AFFILIATES, LTD

Doing business as

Baptist Beaumont Surgical Affiliates

Practice address

3560 College St
Beaumont, TX 77701

Phone

(409) 835-7070

Fax

(409) 835-6111

NPI assigned

Jul 16, 2006

Last updated

Mar 17, 2020By 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

Peter Blach

Title

Officer/Authorized Official

Phone

(713) 343-0832

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Baptist Beaumont Surgical Affiliates Doing business as

Member of 3

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

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • Psychiatric Hospital Unit
  • Beaumont, TX
  • NPI 1104920412

  Member Of

  NPD member
• Baylor University Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Dallas, TX
  • NPI 1518967231

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1457378333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014614",
            "telephone_number": "409-835-7070",
            "fax_number": "409-835-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-835-7070",
            "fax_number": "409-835-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUMONT SURGICAL AFFILIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "BLACH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-343-0832"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092982001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490003964",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH1230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist Beaumont Surgical Affiliates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Beaumont Surgical Affiliates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beaumont Smiles Youth Dentistry, PLLC
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• Beaumont Speech and Language LLC
• Beaumont Spine Associates
• Beaumont Spine Pain and Sports Medicince
• Beaumont Texas Dental PC
• Beaumont Texas LLC (Texas Care North Beaumont)
• Beaumont Urgent Care Setx, LLC (Beaumont Urgent Care)
• Beaumont-Ara Dialysis L.L.P. (Beaumont Kidney Center)
• Frederick Joseph Bebeau, P.A.

• Ambulatory Surgical Clinic/Center in Beaumont, TX
• Providers in Beaumont, 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 Mar 17, 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.