Port Arthur Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PORT ARTHUR SURGICAL CENTER, LLC

Practice address

3919 N Twin City Hwy
Port Arthur, TX 77642-2118

Phone

(409) 984-7090

Fax

(409) 984-7099

NPI assigned

Jan 9, 2020

Organization subpart

No

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

Authorized official

Name

Kelly Marie Bemis

Title

Authorized Official

Phone

(858) 504-5667

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Port Arthur Surgical Center LLC Dba Gulf Coast Surgery CenterCCN 45C0001707

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.

• Port Arthur Cardiac Cath Lab, LP

  • Multi-Specialty Clinic/Center
  • Port Arthur, TX
  • NPI 1245462258

  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.

• Gregg Arthur Miller, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1942273560
  NPD (past)

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1912547746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT# 6009",
            "address_2": "PO BOX 4417",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104417",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3919 N TWIN CITY HWY",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422118",
            "telephone_number": "409-984-7090",
            "fax_number": "409-984-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT ARTHUR SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "858-504-5667"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Port Arthur Family Dentistry, PLLC
• Port Arthur Isd
• Port Arthur Pathology Association
• Port Arthur Smiles Inc
• Port Arthur Surgical Association
• Prasada R Nalluri MD PA
• Premise Health of Texas Medical PA
• Prestige Medical Services, PLLC
• Lindsey Deann Price, D.D.S.
• Primary Care Pediatrics,PA

• Ambulatory Surgical Clinic/Center in Port Arthur, TX
• Providers in Port Arthur, 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 Nov 9, 2023; 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.