Organization Active NPI

Lakeshore Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Spring, TX
National Provider Identifier
1487280608
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LAKESHORE SURGICAL CENTER LLC
Practice address
6701 Lake Woodlands Dr Ste 175
Spring, TX 77382-2565
Phone
(281) 825-4607
NPI assigned
Mar 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Authorized official

Name
Mr. Vim X Head
Title
Ceo
Phone
(281) 825-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6701 Lake Woodlands Dr Ste 175
Spring, TX 77382-2565

Mailing address

6701 Lake Woodlands Dr Ste 175
Spring, TX 77382-2565
Phone (281) 825-4607

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.lakeshoreasc.com Direct

National Provider Directory

National Provider Directory

Locations

6701 Lake Woodlands Dr
Ste 175
The Woodlands, TX 77382
Phone (281) 825-4607

NPI Registry JSON

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1487280608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 LAKE WOODLANDS DR STE 175",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822565",
            "telephone_number": "281-825-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 LAKE WOODLANDS DR STE 175",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773822565",
            "telephone_number": "281-825-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "VIM",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-825-4607",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.lakeshoreasc.com",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/K",
            "address_1": "6701 Lake Woodlands Dr # Drive175",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773822565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

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