North Central Methodist ASC, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007843 Issued in TX

Legal business name

NORTH CENTRAL METHODIST ASC, LP

Practice address

19010 Stone Oak Pkwy
San Antonio, TX 78258-3225

Phone

(210) 575-5200

Fax

(210) 575-5222

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Timothy A Carr

Title

Chief Financial Officer

Phone

(210) 575-0238

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Methodist Ambulatory Surgery Center North Central Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

North Central Methodist ASC LPCCN 45C0001308

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.

• Methodist Healthcare System of San Antonio, LTD., L.L.P.

  • Rehabilitation Hospital Unit
  • San Antonio, TX
  • NPI 1134166069

  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.

• Joseph Terrence Kavanagh, M.D.

  • Ophthalmology Physician
  • Seguin, TX
  • NPI 1992718373
  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922075167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 STONE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583225",
            "telephone_number": "210-575-5200",
            "fax_number": "210-575-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19010 STONE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583225",
            "telephone_number": "210-575-5200",
            "fax_number": "210-575-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL METHODIST ASC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "210-575-0238"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "007843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH1569",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "49053102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Ambulatory Surgery Center North Central",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Babcock Dental PLLC
• North Blanco Family Physicians, P.a.
• North Central Cardiac Cath Lab LP
• North Central Family Clinic
• North Central Family Practice
• North Central Ophthalmology, P.a.
• North East Independent School District
• North East San Antonio Hearing & Balance L.L.C.
• North Hills Family Medicine
• North Hills Family Medicine, PA

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, 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 Aug 22, 2020; 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.