Organization Active NPI

Saratoga Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Corpus Christi, TX
National Provider Identifier
1588039465
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SARATOGA SURGICAL CENTER, LLC
Practice address
6214 Saratoga Blvd BLDG 6
Corpus Christi, TX 78414-3421
Phone
(361) 452-5460
Fax
(361) 452-4561
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Dr. Paul Kennedy III, DDS
Title
Owner
Phone
(361) 452-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6214 Saratoga Blvd BLDG 6
Corpus Christi, TX 78414-3421

Mailing address

6214 Saratoga Blvd BLDG 6
Corpus Christi, TX 78414-3421
Phone (361) 452-5460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161118000633 TX Part B Supplier - Ambulatory Surgical Center 5991084774 Practice locations: Corpus Christi, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Saratoga Surgical Center LLCCCN 45C0001615
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1588039465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6214 SARATOGA BLVD BLDG 6",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143421",
            "telephone_number": "361-452-5460",
            "fax_number": "361-452-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 SARATOGA BLVD BLDG 6",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784143421",
            "telephone_number": "361-452-5460",
            "fax_number": "361-452-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-452-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.