Organization Active NPI

Seguin Surgical Services PA

  • Surgery Physician
  • Seguin, TX
National Provider Identifier
1710014048
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E7589 Issued in TX
Legal business name
SEGUIN SURGICAL SERVICES PA
Practice address
1255 Ashby
Seguin, TX 78155
Phone
(830) 372-2840
Fax
(830) 372-2547
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Joseph Dwyer, MD
Title
Owner
Phone
(830) 372-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X E7589 TX Primary

Addresses

Primary practice location

1255 Ashby
Seguin, TX 78155

Mailing address

1255 Ashby
Seguin, TX 78155
Phone (830) 372-2840

National Provider Directory

National Provider Directory

Locations

1255 Ashby St
Ste H
Seguin, TX 78155
Phone (830) 372-2840

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710014048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 ASHBY",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-2840",
            "fax_number": "830-372-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ASHBY",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-2840",
            "fax_number": "830-372-2547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUIN SURGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DWYER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-372-2840",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "E7589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.