Organization Active NPI

Timothy Ross Lee, PC

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1568508380
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
253403 Issued in TX
Legal business name
TIMOTHY ROSS LEE, PC
Practice address
5327 N Central Expy
Suite 200
Dallas, TX 75205-3361
Phone
(214) 520-8235
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Berta Aguiar
Title
Billing Coordinator
Phone
(972) 416-6775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 253403 TX Primary

Addresses

Primary practice location

5327 N Central Expy
Suite 200
Dallas, TX 75205-3361

Mailing address

2840 Keller Springs Rd
Suite 401
Carrollton, TX 75006-4829
Phone (972) 416-6775

Other identifiers 1

IdentifierTypeStateIssuer
00C88SOtherTXBCBS

Other names 1

  • Maverick Anesthesia Services, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2840 Keller Springs Rd
Ste 401
Carrollton, TX 75006

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568508380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 KELLER SPRINGS RD",
            "address_2": "SUITE 401",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064829",
            "telephone_number": "972-416-6775",
            "fax_number": "972-417-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5327 N CENTRAL EXPY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752053361",
            "telephone_number": "214-520-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY ROSS LEE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGUIAR",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "972-416-6775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "253403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00C88S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maverick Anesthesia Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 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.