Active NPI
Turtle Creek Surgery Center
- Ambulatory Surgical Clinic/Center
- Tyler, TX
National Provider Identifier
1902090822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 008054
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.