Organization Active NPI

The Surgical & Endoscopic Center of Stephenville

  • Ambulatory Surgical Clinic/Center
  • Stephenville, TX
National Provider Identifier
1740228766
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING SURVEY Issued in TX
Legal business name
THE SURGICAL & ENDOSCOPIC CENTER OF STEPHENVILLE
Practice address
150 River North Blvd
Stephenville, TX 76401-1803
Phone
(254) 918-2210
Fax
(254) 968-4204
NPI assigned
Jun 3, 2006
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Ms. Sherrie Barton
Title
Business Office Manager
Phone
(254) 968-7020

Specialties & licenses 1

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

Addresses

Primary practice location

150 River North Blvd
Stephenville, TX 76401-1803

Mailing address

140 River North Blvd
Stephenville, TX 76401-1803
Phone (254) 918-2210

Other identifiers 1

IdentifierTypeStateIssuer
P00367495OtherRR MEDICARE

National Provider Directory

National Provider Directory

Locations

150 River North Blvd
Stephenville, TX 76401
Phone (254) 965-9729

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1740228766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 RIVER NORTH BLVD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011803",
            "telephone_number": "254-918-2210",
            "fax_number": "254-968-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER NORTH BLVD",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011803",
            "telephone_number": "254-918-2210",
            "fax_number": "254-968-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL & ENDOSCOPIC CENTER OF STEPHENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "254-968-7020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "PENDING SURVEY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00367495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.