Encore ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ENCORE ASC, LLC

Practice address

2200 Physicians Blvd Ste a
Ennis, TX 75119-6248

Phone

(972) 945-5800

Fax

(972) 846-6882

NPI assigned

Jun 10, 2020

Last updated

Nov 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Martin

Title

Admin

Phone

(469) 215-3494

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1831714419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD STE 200",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196247",
            "telephone_number": "972-945-5800",
            "fax_number": "972-846-6882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICIANS BLVD STE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196248",
            "telephone_number": "972-945-5800",
            "fax_number": "972-846-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "469-215-3494"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC LICENSE",
            "identifier": "130516",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://encore-surgerycenter.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Physicians Blvd Ste A",
            "city": "Ennis",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751196248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellis Emergency Group PA
• Ellis Pain & Pain Rehabilitation Center
• Cody Ely
• Emmanuel E Sackey MD, PA (dba Ennis Childrens Clinic)
• Encompass Anesthesia Partners LLC
• Ennis Anesthesia Associates PLLC
• Ennis Ave. PLLC (Camelot Dental)
• Ennis Dental PLLC
• Ennis Diagnostic Center, Inc. (Elite Medical Supply)
• Ennis Family Dentistry PLLC (Ennis Family Dentistry & Orthodontics)

• Ambulatory Surgical Clinic/Center in Ennis, TX
• Providers in Ennis, 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 Nov 30, 2021; 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.