Organization Active NPI

Port Arthur Surgical Association

  • Specialist
  • Port Arthur, TX
National Provider Identifier
1871610212
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PORT ARTHUR SURGICAL ASSOCIATION
Practice address
3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543
Phone
(409) 721-5150
Fax
(409) 721-6102
NPI assigned
Mar 22, 2007
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. John Allen Schmidt, M.D.
Title
President
Phone
(409) 721-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543

Mailing address

3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543
Phone (409) 721-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120301000480 TX Part B Supplier - Clinic/Group Practice 2466610951 Receives reassigned benefits from 1 practitioner
Practice locations: Port Arthur, TX

National Provider Directory

National Provider Directory

Locations

3820 Highway 365
Ste 200
Port Arthur, TX 77642
Phone (409) 721-5150

Practitioners & affiliated clinicians

Practitioners 2

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1871610212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "SUITE 200",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-721-5150",
            "fax_number": "409-721-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "SUITE 200",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-721-5150",
            "fax_number": "409-721-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ARTHUR SURGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-721-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.