Organization Active NPI

Integris Surgical Group and Medical Management

  • Surgery Physician
  • Plano, TX
National Provider Identifier
1487178745
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
INTEGRIS SURGICAL GROUP AND MEDICAL MANAGEMENT
Practice address
3313 Westclarke Dr
Plano, TX 75093-7974
Phone
(469) 573-6897
NPI assigned
Jul 28, 2017
Last updated
Aug 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Mrs. Amy M Robison
Title
Owner
Phone
(505) 320-7292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3313 Westclarke Dr
Plano, TX 75093-7974

Mailing address

3313 Westclarke Dr
Plano, TX 75093-7974

Other names 1

  • Medical Management Organization Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1487178745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 WESTCLARKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 WESTCLARKE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937974",
            "telephone_number": "469-573-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRIS SURGICAL GROUP AND MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-320-7292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Management Organization",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Medical Management Organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.