Good Shepherd Surgical Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GOOD SHEPHERD SURGICAL ASSOCIATES, PLLC

Practice address

703 E Marshall Ave
Suite 3000
Longview, TX 75601-5500

Phone

(903) 315-4400

Fax

(903) 315-2595

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Kristine Glover

Title

Evp/Coo

Phone

(903) 315-5704

Specialties & licenses 1

Addresses

Other names 1

• GSPS GENERAL SURGERY Former legal business name

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1942573381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756064207",
            "telephone_number": "903-315-4400",
            "fax_number": "903-315-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MARSHALL AVE",
            "address_2": "SUITE 3000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015500",
            "telephone_number": "903-315-4400",
            "fax_number": "903-315-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "EVP/COO",
        "authorized_official_telephone_number": "903-315-5704"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GSPS GENERAL SURGERY",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Good Shepherd Ambulatory Surgical Center LTD
• Good Shepherd Medical Center
• Good Shepherd Medical Center
• Good Shepherd Medical Center
• Good Shepherd Medical Center
• Hollye Goodson
• Brandt Goodwin, CRNA
• Joanna Goodwin, LPC
• Henry Gor, MD
• Gordon Jordan LLC

• Surgery Physician in Longview, TX
• Providers in Longview, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.