NPIMap

Organization Active NPI

Emergency Surgical Associates PLLC

  • Surgery Physician
  • Lewisville, TX
National Provider Identifier
1811461841
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
EMERGENCY SURGICAL ASSOCIATES PLLC
Practice address
2705 Damsel Bella Blvd
Lewisville, TX 75056-6169
Phone
(469) 788-8545
Fax
(469) 788-8545
NPI assigned
Jan 12, 2019
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Biju M Lukose, MDNPI 1053501809
Title
Cmo
Phone
(469) 788-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2705 Damsel Bella Blvd
Lewisville, TX 75056-6169

Mailing address

2705 Damsel Bella Blvd
Lewisville, TX 75056-6169
Phone (469) 788-8545

Other practice location 1

4323 N Josey Ln Ste 100
Carrollton, TX 75010-4619
Phone (469) 788-8588

Other names 1

  • EMERGENCY SURGICAL ASSOCIATES PLLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1811461841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DAMSEL BELLA BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566169",
            "telephone_number": "469-788-8545",
            "fax_number": "469-788-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DAMSEL BELLA BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566169",
            "telephone_number": "469-788-8545",
            "fax_number": "469-788-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4323 N Josey Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104619",
            "country_code": "US",
            "telephone_number": "469-788-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMERGENCY SURGICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "LUKOSE",
        "authorized_official_first_name": "BIJU",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "469-788-8588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGENCY SURGICAL ASSOCIATES PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "EMERGENCY SURGICAL ASSOCIATES PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.