Summit Bariatric and Robotic Surgical Specialists PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SUMMIT BARIATRIC AND ROBOTIC SURGICAL SPECIALISTS PLLC

Practice address

1201 S Main St Ste 111
Boerne, TX 78006-2838

Phone

(830) 223-8150

Fax

(830) 223-8151

NPI assigned

Aug 7, 2022

Last updated

Nov 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rex Farrer, DONPI 1841615986

Title

Owner

Phone

(801) 755-6559

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rex Farrer Jr., DO

  • Surgery Physician
  • Boerne, TX
  • NPI 1841615986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1679200885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 111",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062838",
            "telephone_number": "830-223-8150",
            "fax_number": "830-223-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BARIATRIC AND ROBOTIC SURGICAL SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-07",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "FARRER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-755-6559",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey L Straud, PSYD
• Sarah Irene Stricker, LPC
• Katelyn E Sullins, MA
• Christi Sullivan
• Mikaela Mercedes Summerville, RBT
• Scott Sumners, PHARM.D.
• Sunrise Primary Care Services Inc (Crest Home Health)
• Susan J. Mahler, M.D., P.a.
• Kenzi Alyse Sutherlin, RBT
• Jeff Howard Svec, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.