NPIMap

Organization Active NPI

Medical and Surgical Associates of Corsicana

  • Allergy & Immunology Physician
  • Waxahachie, TX
National Provider Identifier
1649599556
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
E2721 Issued in TX
Legal business name
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA
Practice address
505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128
Phone
(972) 923-1686
Fax
(972) 937-7731
NPI assigned
May 18, 2010
Organization subpart
Yes
Parent organization
MEDICAL AND SURGICAL ASSOCIATES OF CORSICANAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mr. Ronnie L Ragsdale
Title
Administator
Phone
(903) 872-3005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X E2721 TX Primary

Addresses

Primary practice location

505 N Highway 77
Suite 200
Waxahachie, TX 75165-1128

Mailing address

401 Hospital Dr
Suite 120
Corsicana, TX 75110-2415
Phone (903) 872-3005

Other identifiers 3

IdentifierTypeStateIssuer
00Y226OtherTXMEDICARE GROUP PTAN
189750601MedicaidTX
1922298199OtherTXGROUP NPI

National Provider Directory

National Provider Directory
Tax ID family
Medical and Surgical Associates5 organizations share this tax ID, including this one
Part of
Medical and Surgical Associates

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1649599556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR",
            "address_2": "SUITE 120",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102415",
            "telephone_number": "903-872-3005",
            "fax_number": "903-872-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N HIGHWAY 77",
            "address_2": "SUITE 200",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751651128",
            "telephone_number": "972-923-1686",
            "fax_number": "972-937-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL AND SURGICAL ASSOCIATES OF CORSICANA",
        "enumeration_date": "2010-05-18",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "903-872-3005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "E2721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00Y226",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189750601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1922298199",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.