NPIMap

Organization Active NPI

Fidelity Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Lewisville, TX
National Provider Identifier
1942690342
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000387 Issued in TX
Legal business name
FIDELITY SURGICAL SUITES LLC
Practice address
591 W Main St
Lewisville, TX 75057-3628
Phone
(972) 743-2126
Fax
(888) 770-6360
NPI assigned
Jan 23, 2015
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Robert M Howington, CRNANPI 1225075864
Title
Member
Phone
(972) 743-2126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000387 TX Primary

Addresses

Primary practice location

591 W Main St
Lewisville, TX 75057-3628

Mailing address

PO Box 542618
Grand Prairie, TX 75054-2618
Phone (972) 743-2126

National Provider Directory

National Provider Directory
Tax ID family
Fidelity Surgical Suites LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1942690342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542618",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750542618",
            "telephone_number": "972-743-2126",
            "fax_number": "888-770-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573628",
            "telephone_number": "972-743-2126",
            "fax_number": "888-770-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDELITY SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "HOWINGTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-743-2126",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.