Midway Surgical Consultants, L.L.C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MIDWAY SURGICAL CONSULTANTS, L.L.C.

Practice address

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Phone

(214) 370-3535

NPI assigned

Jul 11, 2018

Organization subpart

No

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

Authorized official

Name

Cameron Carmody, MD

Title

Owner

Phone

(214) 370-3535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1811473044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TECHNOLOGY FOREST BLVD STE 230",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813908",
            "telephone_number": "737-999-0321",
            "fax_number": "737-999-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWAY SURGICAL CONSULTANTS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "CARMODY",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-370-3535",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Addison, TX
• Providers in Addison, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.