Surgery Center of Northeast Texas LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF NORTHEAST TEXAS LLC

Practice address

1902 Moores LN
Suite, B
Texarkana, TX 75503-4610

Phone

(903) 792-2108

Fax

(903) 792-0606

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Jeffrey E. Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• Surgery Center of Northeast Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

ScnetxCCN 45C0001179

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Texarkana Sedation LLC

  • Certified Registered Nurse Anesthetist
  • Texarkana, TX
  • NPI 1467009621

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1962772871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3741",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 MOORES LN",
            "address_2": "SUITE, B",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034610",
            "telephone_number": "903-792-2108",
            "fax_number": "903-792-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF NORTHEAST TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Northeast Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Northeast Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roy L Sturdivant, CRNA
• Wendy Suen-Lee, PHARM. D.
• Sean M. Summers, OD
• Janet Lynn Sumner, MS RD LD
• Surgery Associates of Texarkana, P.a.
• Caroline Jane Sutherland, FNP-C
• Mark Edward Sutherland, M.D.
• Ashli Kay Sutton, LPC
• Kimberly Lynne Sutton, FNP
• Swiftlifttransport

• Ambulatory Surgical Clinic/Center in Texarkana, TX
• Providers in Texarkana, 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 May 12, 2022; 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.