WLS Surgical Associates of North Texas PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

P2670 Issued in TX

Legal business name

WLS SURGICAL ASSOCIATES OF NORTH TEXAS PLLC

Practice address

12201 Merit Dr Ste 440
Dallas, TX 75251-3106

Phone

(214) 823-5000

Fax

(214) 824-7167

NPI assigned

Oct 10, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey W. Henke, M.D.NPI 1811194384

Title

President

Phone

(214) 823-5000

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACCBDA

Practitioners 2

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.

• Jeffrey W Henke, M.D.

  • Surgery Physician
  • Dallas, TX
  • NPI 1811194384
  Authorized official Same address or phone
• Michael Jason Sutker, MD

  • Surgery Physician
  • Dallas, TX
  • NPI 1053572370
  NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669075200000",
    "number": "1760886345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513106",
            "telephone_number": "214-823-5000",
            "fax_number": "214-824-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 MERIT DR STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752513106",
            "telephone_number": "214-823-5000",
            "fax_number": "214-824-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLS SURGICAL ASSOCIATES OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "HENKE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-823-5000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "P2670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Wittman, LMFT
• Zoe Wittrock, RBT
• Kristen Ann Wittwer, MFT
• Sophia Wix, MD, MPHIL
• WLS Surgical Associates LLP
• WLS Surgical Associates of Texas PLLC
• WLS Surgical Associates PA
• WM Randall Trawnik (Dallas Eye Prosthetics)
• Sarah Danielle Wobbenhorst, CRNA
• Biratu Woda, LPC

• Specialist in Dallas, TX
• Providers in Dallas, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.