Organization Active NPI

Northwest Texas Surgical Hospital, LLC

  • General Acute Care Hospital
  • Amarillo, TX
National Provider Identifier
1750474516
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NORTHWEST TEXAS SURGICAL HOSPITAL, LLC
Practice address
3501 Soncy Road
Suite #118
Amarillo, TX 79118
Phone
(806) 359-7999
Fax
(806) 355-7598
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Mr. Clay George Weiss
Title
Administrator
Phone
(806) 359-7999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

3501 Soncy Road
Suite #118
Amarillo, TX 79118

Mailing address

PO Box 50360
Amarillo, TX 79159-0360
Phone (806) 351-1560

Other identifiers 2

IdentifierTypeStateIssuer
00C17SOtherTXBLUE CROSS & BLUE SHIELD
142537301MedicaidTX

Other names 1

  • Northwest Texas Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7100 W 9th Ave
Amarillo, TX 79106
Phone (806) 212-0247

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1750474516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50360",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590360",
            "telephone_number": "806-351-1560",
            "fax_number": "806-351-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SONCY ROAD",
            "address_2": "SUITE #118",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79118",
            "telephone_number": "806-359-7999",
            "fax_number": "806-355-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TEXAS SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-359-7999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "00C17S",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142537301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Texas Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.