Active NPI
Foundation Surgery Affilliate of Grayson County, LLC
- Ambulatory Surgical Clinic/Center
- Sherman, TX
National Provider Identifier
1689618704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008266
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1766065 | Medicaid | TX |
Other names 1
- Heritage Park Surgery Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Sherman, TX
- NPI 1952354938
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
- Julie Ann Folger, DDS
- J'Brya Forman
- Melissa H Forsythe, ACNPC-AG
- Ashlie Nichole Fort
- Tosha Foster
- Foundation Surgical Hospital of Grayson County LLC
- Foundation Surgical Hospital of Grayson County LLC
- Foundation Surgical Hospital of Grayson County LLC,
- Four Rivers Outreach Inc
- Carla Jane Fowler, APRN, FNP-C
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.