Organization Active NPI

Foundation Surgery Affilliate of Grayson County, LLC

  • Ambulatory Surgical Clinic/Center
  • Sherman, TX
National Provider Identifier
1689618704
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008266 Issued in TX
Legal business name
FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, LLC
Practice address
3603 Calais Drive
Sherman, TX 75090
Phone
(903) 813-3700
Fax
(903) 813-3701
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Authorized official

Name
Mrs. Deann Sutton
Title
Clinical Manager/Administrator
Phone
(903) 813-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008266 TX Primary

Addresses

Primary practice location

3603 Calais Drive
Sherman, TX 75090

Mailing address

PO Box 20603
Oklahoma City, OK 73156-0603
Phone (405) 608-1700

Other identifiers 1

IdentifierTypeStateIssuer
1766065MedicaidTX

Other names 1

  • Heritage Park Surgery Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1689618704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20603",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560603",
            "telephone_number": "405-608-1700",
            "fax_number": "405-608-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 CALAIS DRIVE",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "75090",
            "telephone_number": "903-813-3700",
            "fax_number": "903-813-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "DEANN",
        "authorized_official_title_or_position": "CLINICAL MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-813-3700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1766065",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.