NPIMap

Organization Active NPI

Pediatric Surgical Associates

  • Pediatric Surgery Physician
  • Plano, TX
National Provider Identifier
1508995358
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
PEDIATRIC SURGICAL ASSOCIATES
Practice address
7000 W Plano Pkwy
Ste 200
Plano, TX 75093-8466
Phone
(214) 483-9300
Fax
(214) 483-9301
NPI assigned
Mar 5, 2007
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Dr. Darrell William Hermann, M.D.NPI 1053494484
Title
President
Phone
(214) 483-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X NU Primary

Addresses

Primary practice location

7000 W Plano Pkwy
Ste 200
Plano, TX 75093-8466

Mailing address

7000 W Plano Pkwy
Ste 200
Plano, TX 75093-8466
Phone (214) 483-9300

Other identifiers 1

IdentifierTypeStateIssuer
112509804MedicaidTX

National Provider Directory

National Provider Directory

Locations

7000 W Plano Pkwy
Ste 200
Plano, TX 75093

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1508995358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W PLANO PKWY",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938466",
            "telephone_number": "214-483-9300",
            "fax_number": "214-483-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 W PLANO PKWY",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938466",
            "telephone_number": "214-483-9300",
            "fax_number": "214-483-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-483-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112509804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 2009; 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.