Organization Active NPI

Lakewood Surgical Associates LP

  • Specialist
  • Dallas, TX
National Provider Identifier
1538415260
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAKEWOOD SURGICAL ASSOCIATES LP
Practice address
9219 Garland Rd Ste 2107
Dallas, TX 75218-4639
Phone
(469) 547-6170
Fax
(469) 547-6180
NPI assigned
Jul 31, 2012
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Hailey Hosak
Title
PA-C
Phone
(469) 547-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

9219 Garland Rd Ste 2107
Dallas, TX 75218-4639

Mailing address

9219 Garland Rd Ste 2107
Dallas, TX 75218-4639
Phone (469) 547-6170

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1538415260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 GARLAND RD STE 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184639",
            "telephone_number": "469-547-6170",
            "fax_number": "469-547-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 GARLAND RD STE 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184639",
            "telephone_number": "469-547-6170",
            "fax_number": "469-547-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD SURGICAL ASSOCIATES LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "HOSAK",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "469-547-6170"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.