Mansfield Surgical Plaza LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008706 Issued in TX

Legal business name

MANSFIELD SURGICAL PLAZA LLC

Practice address

280 Regency Pkwy
Mansfield, TX 76063-7823

Phone

(817) 453-2744

Fax

(817) 842-0007

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Shawn Solito

Title

Ceo

Phone

(817) 453-2744

Specialties & licenses 1

Addresses

Other names 1

• Mansfield Surgery Center Doing business as

Practitioners 1

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

• Dharmesh P Bhakta, D.P.M

  • Podiatrist
  • Arlington, TX
  • NPI 1346243243
  NPD (past)

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1790945145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637823",
            "telephone_number": "817-453-2744",
            "fax_number": "817-842-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 REGENCY PKWY",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637823",
            "telephone_number": "817-453-2744",
            "fax_number": "817-842-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD SURGICAL PLAZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SOLITO",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-453-2744"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mansfield Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mansfield Pediatrics
• Mansfield Physician Staffing, PLLC
• Mansfield Smiles and Orthodontics, PC
• Mansfield SNF LLC
• Mansfield Spinal Care
• Mansfield Vision Center LLC
• Mansfield Walnut Creek Medical
• Soleima Dallana Mantilla, NP
• Miranda Manyande, M. S. CCC-SLP
• Tokriel M Manyiel

• Ambulatory Surgical Clinic/Center in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.