Raider Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130305 Issued in TX

Legal business name

RAIDER SURGICAL CENTER LLC

Practice address

1400 E Ridge Rd Ste 3
McAllen, TX 78503-1536

Phone

(956) 429-4900

Fax

(956) 429-4901

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Wade A Graham, MDNPI 1316938434

Title

Owner

Phone

(956) 429-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Raider Surgical Center LLCCCN 45C0001603

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

Locations

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.

• Wade Alan Graham, M.D.

  • Ophthalmology Physician
  • Lubbock, TX
  • NPI 1316938434
  NPD (past) Authorized official

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1982069068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966605",
            "telephone_number": "956-429-4900",
            "fax_number": "956-429-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E RIDGE RD STE 3",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031536",
            "telephone_number": "956-429-4900",
            "fax_number": "956-429-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAIDER SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-429-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rani Ramsey Rabah, MD
• Radiation Medicine Associates
• Nina Raff, MACCC SLP
• Rafael A Rafols Saavedra, MD
• Abdulrahman Khamiss Rageh, MD
• Katherine Atamanczuk Rall, DO
• Bonnie Ralls, RN
• Ralph Alhalel PA (Rio Grande Gastroenterology Consultants)
• Kannan Ramamurthy, M.D.
• Mangala M Ramamurthy, M.D.

• Ambulatory Surgical Clinic/Center in McAllen, TX
• Providers in McAllen, 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 Mar 10, 2017; 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.