NPIMap

Organization Active NPI

Precision Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1962050492
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Dr. Taylor B Strange, DONPI 1023336633
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 CenterCCN 45C0001699
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2177117Precision Ambulatory Surgery Center, LLC9439 N Beach St, Fort Worth, TX 76244Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

9439 N Beach St
Fort Worth, TX 76244
Phone (817) 442-2020

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

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.

Verify at the official NPI Registry.