Texas Health Orthopedic Surgery Center Alliance, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE, LLC

Practice address

9848 N Beach St
Fort Worth, TX 76244-6184

Phone

(682) 312-6464

Fax

(817) 431-0010

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Lynne Parris

Title

Chief Administrative Officer

Phone

(682) 312-6464

Specialties & licenses 1

Addresses

Other names 1

• Texas Health Orthopedic Surgery Center Heritage Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Texas Health Orthopedic Surgery Center HeritageCCN 45C0001667

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 1

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

• Kerry Michael Donegan, MD

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1972509412
  NPD (past)

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1508367194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9848 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "682-312-6464",
            "fax_number": "817-431-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446184",
            "telephone_number": "682-312-6464",
            "fax_number": "817-431-0010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9848 N Beach St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76244",
            "country_code": "US",
            "telephone_number": "205-263-7863",
            "fax_number": "205-439-8875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS HEALTH ORTHOPEDIC SURGERY CENTER ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "682-312-6464",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Orthopedic Surgery Center Heritage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Health Harris Methodist Hospital Southwest Fort Worth
• Texas Health Harris Methodist Hospital Southwest Fort Worth
• Texas Health Huguley, Inc
• Texas Health Medical Support
• Texas Health Medical Support
• Texas Health Outpatient Surgery Center Alliance
• Texas Health Physician Affiliates Blue PLLC
• Texas Health Physicians Group
• Texas Health Physicians Group
• Texas Health Specialty Hospital Fort Worth

• Ambulatory Surgical Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, 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 Oct 17, 2018; 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.