Wilson Creek Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WILSON CREEK SURGICAL CENTER, LLC

Practice address

8855 Synergy Dr
McKinney, TX 75070-6503

Phone

(972) 632-3800

Fax

(972) 632-3801

NPI assigned

Mar 13, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Sean Salyer, MBA

Title

Cao

Phone

(972) 632-3800

Specialties & licenses 1

Addresses

Other names 1

• Stonebridge Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Wilson Creek Surgical Center LLC Dba Stonebridge Surgery CenterCCN 45C0001551

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1972878726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 SYNERGY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706503",
            "telephone_number": "972-632-3800",
            "fax_number": "972-632-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 SYNERGY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706503",
            "telephone_number": "972-632-3800",
            "fax_number": "972-632-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON CREEK SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "SALYER",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "972-632-3800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonebridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonebridge Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wills Transitions MHT LLC
• Stella Ingrid Willson, LCSW
• Tara Michelle Willson, MA, LPC
• Wilson Audiology
• Wilson Creek Internal Medicine Group
• Abigail Wilson, RPH
• Ashleigh Wilson
• Cassandra A Wilson, AU.D.
• Deidre Wilson
• Jennifer Byun Wilson, FNP

• Ambulatory Surgical Clinic/Center in McKinney, TX
• Providers in McKinney, 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 Aug 24, 2020; 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.