Coppell Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COPPELL SURGERY CENTER, LLC

Practice address

731 Plaza Road
Coppell, TX 75019

Phone

(469) 774-3081

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Thomason, M.D.NPI 1114942018

Title

Manager

Phone

(469) 774-3081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 45C0001662

Legal name

COPPELL SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 23, 2018

Last certification

Dec 23, 2020

Ownership / control type

Proprietary

Facility address

731 Plaza Blvd
Coppell, TX 75019

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Coppell Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metro Anesthesiology Affiliates PLLC

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1720852205
  NPD tax ID

Practitioners 2

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

• Timothy Thomason, MD

  • Otolaryngology Physician
  • Irving, TX
  • NPI 1114942018
  NPD Authorized official
• Robert Louis Delillo, DNP, CRNA, NSPM-C

  • Certified Registered Nurse Anesthetist
  • Keller, TX
  • NPI 1013008721
  NPD (past)

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1619429289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 PLAZA ROAD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 PLAZA ROAD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "469-774-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPELL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-774-3081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coppell SNF Operations LLC
• Coppell Speech Therapy
• Coppell Spine & Sports Rehab Limited Partnership
• Coppell Spine & Sports Rehab Limited Partnership
• Coppell Star Dental Group PC
• Josh Cordonnier, LPC
• Core Activated Rehab L.L.C.
• Core Physical Therapy Coppell
• Courtney E Cosgrove
• David Costa, DPT

• Ambulatory Surgical Clinic/Center in Coppell, TX
• Providers in Coppell, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.