Axis Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AXIS SURGERY CENTER, LLC

Practice address

1110 E State Highway 114 Ste 150
Southlake, TX 76092-5250

Phone

(714) 766-5882

Fax

(949) 481-9177

NPI assigned

Dec 8, 2020

Last updated

May 11, 2021By 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

Saeid Aryan, MDNPI 1144487174

Title

Owner

Phone

(817) 912-2137

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Axis Surgery Center LLCCCN 45C0001740

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

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.

• Saeid Esmaeily Aryan, D.O

  • Neurological Surgery Physician
  • Fort Worth, TX
  • NPI 1144487174
  NPD (past) Authorized official

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1912503665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925250",
            "telephone_number": "817-912-2137",
            "fax_number": "817-769-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114 STE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925250",
            "telephone_number": "714-766-5882",
            "fax_number": "949-481-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "ARYAN",
        "authorized_official_first_name": "SAEID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-912-2137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Axent Diagnostics LLC
• Axent Diagnostics LLC
• Axis Brain and Back Institute PLLC
• Axis Brain and Back Institute PLLC
• Axis Pain Institute of North America
• Priscilla S Baber, MSN, APRN, FNP-C
• Melissa Bachman, PHYSICIAN ASSISTANT
• Amy Christine Badstubner, AU.D.
• Lorraine Bae
• Emily Bailey, BCBA

• Ambulatory Surgical Clinic/Center in Southlake, TX
• Providers in Southlake, 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 May 11, 2021; 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.