Doctors Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

000295 Issued in TX

Legal business name

DOCTORS SURGERY CENTER, INC

Practice address

5300 North St
Nacogdoches, TX 75965-1370

Phone

(936) 569-8278

Fax

(936) 569-0275

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

Robert Paul Lehmann, M.D.NPI 1942268743

Title

Owner

Phone

(936) 569-8278

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Doctors Surgery Center IncCCN 45C0001169

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Paul Lehmann, M.D.

  • Ophthalmology Physician
  • Nacogdoches, TX
  • NPI 1942268743
  Medicare reassignment NPD Authorized official
• James P Berg, M.D.

  • Ophthalmology Physician
  • Nacogdoches, TX
  • NPI 1982015921
  Medicare reassignment NPD
• Anna Elyse Lehmann, MD

  • Ophthalmology Physician
  • Nacogdoches, TX
  • NPI 1902283559
  Medicare reassignment NPD
• Timothy Noel Young, MD

  • Ophthalmology Physician
  • Nacogdoches, TX
  • NPI 1962403071
  Medicare reassignment NPD

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1497869267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651370",
            "telephone_number": "936-569-8278",
            "fax_number": "936-569-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651370",
            "telephone_number": "936-569-8278",
            "fax_number": "936-569-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-569-8278",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH1358",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085940701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "490002475",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carmen Dominguez
• Maria Lorena Dominguez
• Donald E. Cagle, M.D.
• Anna Donihoo, LCSW

• Ambulatory Surgical Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, 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 Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.