Texas Health Surgery Center Preston Plaza, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008328 Issued in TX

Legal business name

TEXAS HEALTH SURGERY CENTER PRESTON PLAZA, LLC

Doing business as

Texas Health Surgery Center Preston Plaza

Practice address

17950 Preston Rd
Suite 75
Dallas, TX 75252-5793

Phone

(972) 267-5400

Fax

(972) 267-0499

NPI assigned

May 19, 2006

Last updated

Mar 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott T Macomber

Title

Executive VP and Cfo

Phone

(312) 780-3234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Texas Health Surgery Center Preston Plaza Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Texas Health Resource Preston Plaza Surgery CenterCCN 45C0001334

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

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

• Plano Orthopedic and Sports Medicine Center, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Plano, TX
  • NPI 1932551413

  Member Of

  NPD member

Locations

Practitioners 1

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.

• Earl R Lund, M.D.

  • Orthopaedic Hand Surgery Physician
  • Plano, TX
  • NPI 1477558583
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1902850506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525793",
            "telephone_number": "972-267-5400",
            "fax_number": "972-267-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17950 PRESTON RD",
            "address_2": "SUITE 75",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525793",
            "telephone_number": "972-267-5400",
            "fax_number": "972-267-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH SURGERY CENTER PRESTON PLAZA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE VP AND CFO",
        "authorized_official_telephone_number": "312-780-3234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183618101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00324944",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Health Surgery Center Preston Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texas Health Presbyterian Hospital Dallas (Texas Health Prescription Shop)
• Texas Health Presbyterian Hospital Dallas
• Texas Health Presbyterian Hospital Dallas
• Texas Health Presbyterian Hospital Dallas
• Texas Health Providers PLLC
• Texas Health Urgent Care (Texas Health Breeze Urgent Care)
• Texas Health Urgent Care (Texas Health Breeze Urgent Care)
• Texas Health Urgent Care (Texas Health Breeze Urgent Care)
• Texas Health Urgent Care (Texas Health Breeze Urgent Care)
• Texas Health Virtual Care (Texas Health Care at Home)

• Ambulatory Surgical Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.