NPIMap

Organization Active NPI

South Arlington Surgical Providers, LLC

Doing business as Same Day Surgicare

  • Ambulatory Surgical Clinic/Center
  • Arlington, TX
National Provider Identifier
1902844426
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
130217 Issued in TX
Legal business name
SOUTH ARLINGTON SURGICAL PROVIDERS, LLC
Doing business as
Same Day Surgicare
Practice address
350 E Interstate 20 Ste 200
Arlington, TX 76018-1119
Phone
(817) 784-6771
Fax
(817) 784-6743
NPI assigned
Jun 4, 2006
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Stephanie L. O'Neal
Title
Chief Administrative Officer
Phone
(817) 784-6771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000391 TX
Ambulatory Surgical Clinic/Center 261QA1903X 130217 TX Primary

Addresses

Primary practice location

350 E Interstate 20 Ste 200
Arlington, TX 76018-1119

Mailing address

350 E Interstate 20 Ste 200
Arlington, TX 76018-1119
Phone (817) 784-6771

Other identifiers 2

IdentifierTypeStateIssuer
087953817MedicaidTX
087953801MedicaidTX

Other names 1

  • Same Day Surgicare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000355 TX Part B Supplier - Ambulatory Surgical Center 2567551195 Practice locations: Arlington, TX

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
South Arlington Surgica Providers Inc Dba Same Day SurgicareCCN 45C0001234
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0940206Same Day Surgicare350 E Interstate 20 #200, Arlington, TX 76018Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (817) 784-6771

Practitioners & affiliated clinicians

Practitioners 64

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.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1902844426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20 STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-6771",
            "fax_number": "817-784-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20 STE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-6771",
            "fax_number": "817-784-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARLINGTON SURGICAL PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "817-784-6771"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000391",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087953817",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087953801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same Day Surgicare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.