Baylor Surgicare at Ennis LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008756 Issued in TX

Legal business name

BAYLOR SURGICARE AT ENNIS LLC

Practice address

2200 Physicans Blvd
Suite a
Ennis, TX 75119-6247

Phone

(972) 875-5538

Fax

(972) 875-8530

NPI assigned

Dec 14, 2010

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine L Reed

Title

Authorized Official

Phone

(972) 763-3859

Specialties & licenses 1

Addresses

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• General and Vascular Surgery of Ennis PA

  • Surgery Physician
  • Ennis, TX
  • NPI 1679564124

  Member Of

  NPD member
• Star Urology of Texas, P.a.

  • Urology Physician
  • Waxahachie, TX
  • NPI 1225110323

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Rehabilitation Hospital Unit
  • San Antonio, TX
  • NPI 1124007240

  Member Of

  NPD member

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1992008965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PHYSICANS BLVD",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196247",
            "telephone_number": "972-875-5538",
            "fax_number": "972-875-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PHYSICANS BLVD",
            "address_2": "SUITE A",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751196247",
            "telephone_number": "972-875-5538",
            "fax_number": "972-875-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR SURGICARE AT ENNIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Carroll Ballard II
• Molly Dickens Barlow, LPC
• Lori Annette Barron
• Basem Jassin, MD PA (Ennis Ear, Nose & Throat)
• Marissa Lourdes Bautista
• Sherri Lynn Berry, COTA
• Big Hearts MD Distributor, LLC
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Ennis)
• Sam N Blackstone Jr., RPH
• Blair Family Medicine PA

• Ambulatory Surgical Clinic/Center in Ennis, TX
• Providers in Ennis, 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 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.