PRG Dallas ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007966 Issued in TX

Legal business name

PRG DALLAS ASC, LLC

Doing business as

Central Point Surgery Center

Practice address

11442 N. Central Expressway
Dallas, TX 75243

Phone

(214) 754-0000

Fax

(214) 379-1849

NPI assigned

Jun 25, 2006

Last updated

Feb 9, 2024By 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

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Point Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

PRG Dallas ASC LPCCN 45C0001023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Claudette Callaway Galen, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1902832231
  NPD (past)
• Samantha N Naidoo, OD

  • Optometrist
  • Garland, TX
  • NPI 1649235862
  NPD (past)
• Toni Jean Rothpletz, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
  • NPI 1548246937
  NPD (past)
• Gene Marie Sperduti, CRNA

  • Certified Registered Nurse Anesthetist
  • Denton, TX
  • NPI 1609967397
  NPD (past)
• Kimberly S Warren, M.D.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1942239272
  NPD (past)
• Jeffrey Whitman, M.D.

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1669401162
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1871529388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11442 N. CENTRAL EXPRESSWAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75243",
            "telephone_number": "214-754-0000",
            "fax_number": "214-379-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRG DALLAS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087975101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Point Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, 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 Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.