Foundation Surgery Affiliate of Nacogdoches LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007238 Issued in TX

Legal business name

FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC

Doing business as

Nacogdoches Surgery Center

Practice address

3610 N University Dr
Nacogdoches, TX 75965-2539

Phone

(936) 560-9599

Fax

(936) 560-6933

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Carah Godinez

Title

Credentialing Manager

Phone

(817) 705-6517

Specialties & licenses 1

Addresses

Other names 1

• Nacogdoches Surgery Center Doing business as

Listed as

Nacogdoches Surgery CenterCCN 45C0001281

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Clifton E. Thomas, MD, PA

  • Surgery Physician
  • Nacogdoches, TX
  • NPI 1457537540

  Member Of

  NPD member
• East Texas Medical Specialties

  • Interventional Pain Medicine Physician
  • Nacogdoches, TX
  • NPI 1154432706

  Member Of

  NPD member

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1649252883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-560-9599",
            "fax_number": "936-560-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-560-9599",
            "fax_number": "936-560-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "CARAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "817-705-6517"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nacogdoches Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Fishbeck, DO
• Jamie Alexandra Flournoy, CSFA
• Katelynne Flowers, MA, LPC
• Eric Fong, PHARMD, RPH
• Kimberly Fos
• Sidney Jack Fowler, DDS
• Taylor Nicole Fraccastoro, DC
• Nancy J Fredo, CNM
• Ronald Anthony Freeland, C.R.N.A.
• Arianna Fresquez, M.D.

• Ambulatory Surgical Clinic/Center in Nacogdoches, TX
• Providers in Nacogdoches, 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 Jan 21, 2026; 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.