Active NPI
Precision Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Fort Worth, TX
National Provider Identifier
1962050492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PRECISION AMBULATORY SURGERY CENTER, LLC
- Practice address
- 9439 North Beach Street
Fort Worth, TX 76244 - Phone
- (817) 442-2020
- Fax
- (817) 379-4542
- NPI assigned
- Aug 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Taylor B Strange, DO
- Title
- President
- Phone
- (817) 442-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
9439 North Beach Street
Fort Worth, TX 76244
Mailing address
9429 N Beach St
Fort Worth, TX 76244-9059
Phone (817) 442-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191209000814 | TX | Part B Supplier - Ambulatory Surgical Center | 5395178123 | Practice locations: Fort Worth, TX |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Precision Ambulatory Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2177117 | Precision Ambulatory Surgery Center, LLC | Certificate of waiver | Jan 5, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Fort Worth, TX
- NPI 1023336633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702944000000",
"number": "1962050492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9429 N BEACH ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "762449059",
"telephone_number": "817-442-2020",
"fax_number": "682-499-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9439 NORTH BEACH STREET",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76244",
"telephone_number": "817-442-2020",
"fax_number": "817-379-4542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECISION AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-28",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A",
"authorized_official_last_name": "STRANGE",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-442-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.