Waco Surgical Clinic P a

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

WACO SURGICAL CLINIC P A

Practice address

6600 Fish Pond Rd
Suite 101
Waco, TX 76710-2581

Phone

(254) 776-3188

Fax

(254) 776-3607

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Gayland L Sims, M.D.

Title

President

Phone

(254) 776-3188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1598844367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-776-3188",
            "fax_number": "254-776-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FISH POND RD",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102581",
            "telephone_number": "254-776-3188",
            "fax_number": "254-776-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACO SURGICAL CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "GAYLAND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-776-3188",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waco Radiology PA
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• Waco SN Opco LLC
• Waco SNF LLC
• Waco Surgical Center LTD
• Waco Texas Emergency Center LLC
• Waco Vision Center, PLLC
• Waco Works Occupational Medicine, PLLC
• Waco Wound Care, PLLC
• Jasmine Wafer, RBT

• Surgery Physician in Waco, TX
• Providers in Waco, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.