Individual provider Active NPI

Summer Christine Galindo, P.A.-C

  • Surgical Physician Assistant
  • Irving, TX
National Provider Identifier
1801957162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA04647 Issued in TX
Practice address
400 W Lyndon B Johnson Fwy
Suite 330
Irving, TX 75063-3707
Phone
(972) 556-2885
Fax
(972) 556-8733
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA04647 TX Primary

Addresses

Primary practice location

400 W Lyndon B Johnson Fwy
Suite 330
Irving, TX 75063-3707

Mailing address

400 W Lyndon B Johnson Fwy
Suite 330
Irving, TX 75063-3707
Phone (972) 556-2885

Other identifiers 1

IdentifierTypeStateIssuer
8N9827OtherTXBCBS

Other names 1

  • Summer Christine Grace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04647TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Orthopedic Surgery and Sports Medicine P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801957162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LYNDON B JOHNSON FWY",
            "address_2": "SUITE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-556-2885",
            "fax_number": "972-556-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W LYNDON B JOHNSON FWY",
            "address_2": "SUITE 330",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633707",
            "telephone_number": "972-556-2885",
            "fax_number": "972-556-8733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALINDO",
        "first_name": "SUMMER",
        "middle_name": "CHRISTINE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N9827",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMMER",
            "last_name": "GRACE",
            "middle_name": "CHRISTINE",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

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