NPIMap

Organization Active NPI

Concho Surgical Partnership, LTD

Doing business as Shannon Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Angelo, TX
National Provider Identifier
1801825955
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008290 Issued in TX
Legal business name
CONCHO SURGICAL PARTNERSHIP, LTD
Doing business as
Shannon Surgery Center
Practice address
4482 Sunset Dr
San Angelo, TX 76901-5611
Phone
(325) 486-5800
Fax
(325) 486-5850
NPI assigned
Jul 1, 2006
Last updated
Nov 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Chuck Dawson
Title
Executive Director
Phone
(325) 486-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008290 TX Primary

Addresses

Primary practice location

4482 Sunset Dr
San Angelo, TX 76901-5611

Mailing address

4482 Sunset Dr
San Angelo, TX 76901-5611
Phone (325) 486-5800

Other names 1

  • Shannon Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1801825955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015611",
            "telephone_number": "325-486-5800",
            "fax_number": "325-486-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 SUNSET DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015611",
            "telephone_number": "325-486-5800",
            "fax_number": "325-486-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCHO SURGICAL PARTNERSHIP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "325-486-5801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Angelo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.