Active NPI
Baylor Scott & White Surgicare at Weatherford LLC
- Ambulatory Surgical Clinic/Center
- Weatherford, TX
National Provider Identifier
1891674255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BAYLOR SCOTT & WHITE SURGICARE AT WEATHERFORD LLC
- Practice address
- 1719 Martin Drive
Weatherford, TX 76086 - Phone
- (817) 476-2919
- NPI assigned
- Aug 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donita Fleming
- Title
- Officer/Ao
- Phone
- (202) 815-3665
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1719 Martin Drive
Weatherford, TX 76086
Mailing address
1719 Martin Drive
Weatherford, TX 76086
Other names 1
- BAYLOR SCOTT& WHITE SURGICARE - WEATHERFORD
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2335286 | Baylor Scott & White Surgicare at Weatherford | Certificate of waiver | Dec 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1891674255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 MARTIN DRIVE",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1719 MARTIN DRIVE",
"city": "WEATHERFORD",
"state": "TX",
"postal_code": "76086",
"telephone_number": "817-476-2919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLOR SCOTT & WHITE SURGICARE AT WEATHERFORD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-29",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "FLEMING",
"authorized_official_first_name": "DONITA",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "202-815-3665"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BAYLOR SCOTT& WHITE SURGICARE - WEATHERFORD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Weatherford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.