Organization Active NPI

West Magnolia Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1629381967
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEST MAGNOLIA SURGERY CENTER
Practice address
1200 W Magnolia Ave
110
Fort Worth, TX 76104-4481
Phone
(817) 870-4833
Fax
(817) 870-4893
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Emily Blackburn McLaughlin, MD
Title
Managing Partner
Phone
(817) 870-4833

Specialties & licenses 1

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

Addresses

Primary practice location

1200 W Magnolia Ave
110
Fort Worth, TX 76104-4481

Mailing address

1200 W Magnolia Ave
110
Fort Worth, TX 76104-4481
Phone (817) 870-4833

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2010396West Magnolia Surgery Center, LLC1200 W Magnolia Ave Suite 110, Fort Worth, TX 76104Certificate of waiverJul 26, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1629381967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MAGNOLIA AVE",
            "address_2": "110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044481",
            "telephone_number": "817-870-4833",
            "fax_number": "817-870-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAGNOLIA AVE",
            "address_2": "110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044481",
            "telephone_number": "817-870-4833",
            "fax_number": "817-870-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MAGNOLIA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BLACKBURN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "817-870-4833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.