NPIMap

Organization Active NPI

Rockwall Ambulatory Surgery Center LLP

  • Ambulatory Surgical Clinic/Center
  • Heath, TX
National Provider Identifier
1891788584
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008119 Issued in TX
Legal business name
ROCKWALL AMBULATORY SURGERY CENTER LLP
Practice address
6435 S FM 549
Ste 101
Heath, TX 75032-6221
Phone
(972) 722-9003
Fax
(972) 722-9004
NPI assigned
Aug 26, 2005
Last updated
Jan 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Authorized official

Name
Ginger White
Title
Administrator
Phone
(972) 772-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008119 TX Primary

Addresses

Primary practice location

6435 S FM 549
Ste 101
Heath, TX 75032-6221

Mailing address

14201 Dallas Pkwy
Dallas, TX 75254-2916
Phone (972) 772-6166

Other identifiers 1

IdentifierTypeStateIssuer
1710188MedicaidTX

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578960000000",
    "number": "1891788584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542916",
            "telephone_number": "972-772-6166",
            "fax_number": "972-772-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 S FM 549",
            "address_2": "STE 101",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326221",
            "telephone_number": "972-722-9003",
            "fax_number": "972-722-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL AMBULATORY SURGERY CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-772-6166"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.