Organization Active NPI

Physicians Surgical Center of Ft. Worth LLP

  • Ambulatory Surgical Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1992901847
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
008533 Issued in TX
Legal business name
PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP
Practice address
2001 Cooper St
Fort Worth, TX 76104-2529
Phone
(817) 529-2620
Fax
(817) 877-1292
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Katherine L. Reed
Title
Medicare Authorized Official
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 008533 TX Primary

Addresses

Primary practice location

2001 Cooper St
Fort Worth, TX 76104-2529

Mailing address

2001 Cooper St
Fort Worth, TX 76104-2529
Phone (817) 529-2620

Other names 1

  • Baylor Surgicare at Fort Worth II Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000142 TX Part B Supplier - Ambulatory Surgical Center 6406936277 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1992901847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042529",
            "telephone_number": "817-529-2620",
            "fax_number": "817-877-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042529",
            "telephone_number": "817-529-2620",
            "fax_number": "817-877-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICARE AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baylor Surgicare at Fort Worth II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.