Organization Active NPI

Highlander Surgical Associates, PLLC

  • Surgery Physician
  • Arlington, TX
National Provider Identifier
1699191122
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HIGHLANDER SURGICAL ASSOCIATES, PLLC
Practice address
301 Highlander Blvd
Ste 101
Arlington, TX 76018-1164
Phone
(817) 419-9200
Fax
(817) 419-9215
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Jason Harrison, MDNPI 1679547863
Title
President
Phone
(817) 419-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

301 Highlander Blvd
Ste 101
Arlington, TX 76018-1164

Mailing address

301 Highlander Blvd
Ste 101
Arlington, TX 76018-1164
Phone (817) 419-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528000549 TX Part B Supplier - Clinic/Group Practice 1355564055 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

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": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1699191122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHLANDER BLVD",
            "address_2": "STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181164",
            "telephone_number": "817-419-9200",
            "fax_number": "817-419-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHLANDER BLVD",
            "address_2": "STE 101",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181164",
            "telephone_number": "817-419-9200",
            "fax_number": "817-419-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDER SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-419-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.