Southwest Bariatric Surgeons PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHWEST BARIATRIC SURGEONS PLLC

Practice address

3705 Medical Pkwy Ste 210
Austin, TX 78705-1027

Phone

(512) 302-1210

Fax

(512) 451-9752

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Susan A. Clarke

Title

Cfo

Phone

(512) 334-1890

Specialties & licenses 1

Addresses

Other names 1

• SHERROD MARK R MEMBER C/O MARK R SHERROD Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 26

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

• Eric M. Acheson, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1730152448
  Medicare reassignment Care Compare group NPD
• Steven M Fass, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1932188711
  Medicare reassignment Care Compare group NPD
• Tim L Faulkenberry, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1114906070
  Medicare reassignment Care Compare group NPD
• Romeo A Lainez, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1518157031
  Medicare reassignment Care Compare group NPD
• Erik Greg Lough, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1215110440
  Medicare reassignment Care Compare group NPD
• Nancy G Marquez, M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1912986803
  Medicare reassignment Care Compare group NPD
• Syed Sameer Mohiuddin, D.O.

  • Surgery Physician
  • Kyle, TX
  • NPI 1568664670
  Medicare reassignment Care Compare group NPD
• Alexander E Fondaw, MD

  • Surgery Physician
  • Overland Park, KS
  • NPI 1356904361

  TX

  Medicare reassignment Care Compare group NPD
• Ankur Prakash Bhakta, DO

  • Surgery Physician
  • Austin, TX
  • NPI 1164714127

  Single Specialty

  Medicare reassignment NPD
• Zachary Lynn Crislip, MD

  • Surgery Physician
  • Austin, TX
  • NPI 1326305616
  Medicare reassignment NPD
• Jonathan Bergendahl Lundy, M.D.

  • Surgery Physician
  • Fort Sam Houston, TX
  • NPI 1841344678
  Medicare reassignment NPD
• Gabriel Jesus Salinas Jr., M.D.

  • Surgery Physician
  • Austin, TX
  • NPI 1760773295
  Medicare reassignment NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1700836756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-302-1210",
            "fax_number": "512-451-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST BARIATRIC SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-334-1890"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERROD MARK R MEMBER C/O MARK R SHERROD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southpark Smiles, PC (Eastside Smiles)
• Southpark Smiles,PC
• Alexis N Southwell
• Southwest Austin Foot & Ankle Clinic, PLLC
• Southwest Austin Foot & Ankle Clinic, PLLC
• Southwest Behavioral Healthcare
• Southwest Diagnostic Centers LTD
• Southwest Key
• Southwest Key
• Southwest LTC - Austin Alf, LLC (Colonial Gardens of Austin A-2)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.