Organization Active NPI

Turtle Creek Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Tyler, TX
National Provider Identifier
1902090822
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008054 Issued in TX
Legal business name
TURTLE CREEK SURGERY CENTER
Practice address
801 Turtle Creek Dr
Tyler, TX 75701-1937
Phone
(903) 526-8272
Fax
(903) 526-5335
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Makoto Saigusa, DMD, MD
Title
Owner
Phone
(903) 526-8272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008054 TX Primary

Addresses

Primary practice location

801 Turtle Creek Dr
Tyler, TX 75701-1937

Mailing address

801 Turtle Creek Dr
Tyler, TX 75701-1937
Phone (903) 526-8272

National Provider Directory

National Provider Directory

Locations

801 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 525-1060

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1902090822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-526-8272",
            "fax_number": "903-526-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-526-8272",
            "fax_number": "903-526-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE CREEK SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "SAIGUSA",
        "authorized_official_first_name": "MAKOTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-526-8272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.