SURGERY CENTER 121 LLC (NPI# 1093295545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093295545 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER 121 LLC |
| Practice Address |
9955 Gillespie Drive Suite 200 Plano TX 75025 |
| Practice Telephone | 9724031110 |
| Practice Fax Number | 9724031153 |
| Mailing Telephone | 9724031110 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Authorized Official Name | DAIN BROOKS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9724031110 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
9955 GILLESPIE DRIVE SUITE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425982 | Mary Deena Jacob | Nurse Practitioner | 2865 Mcdermott Rd #225, Plano, TX 75025 | 2019-03-05 |
| 1902383136 | Quang Dangtran | Adult Companion | 7604 Stoney Point Dr, Plano, TX 75025 | 2018-07-20 |
| 1598256851 | Rachel J Dove | Behavioral Analyst | 8900 Smokey Dr, Plano, TX 75025 | 2018-05-22 |
| 1659879641 | Beatrice Wambui Ngaruiya | Pharmacist | 312 Preston Rd, Plano, TX 75025 | 2018-01-25 |
| 1841718392 | Ngonje Emilia Dibaki | Community Health Worker | 7900 Stable Glen Drive, Plano, TX 75025 | 2017-09-05 |
| 1497280408 | Js Pedodontics Pllc | Dentist | 3555 National Drive, Ste. 200, Plano, TX 75025 | 2017-04-27 |
| 1093254013 | Mark T. Padilla, Pllc | Dentist | 3555 National Dr, Ste 300, Plano, TX 75025 | 2017-02-23 |
| 1982147708 | Dentspan Pllc | Dentist | 3680 Sh 121, 100, Plano, TX 75025 | 2016-11-28 |
| 1669827093 | Raz Silberman | Community Health Worker | 9708 Congressional Dr, Plano, TX 75025 | 2016-05-04 |
| 1104291483 | Lindsey Baxter | Nurse Practitioner | 2401 Trailwest Lane, Plano, TX 75025 | 2015-12-11 |
| Find all providers in zip 75025 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1306303136 | Frisco First Surgicenter, LLC | Clinic/Center | 8740 Ohio Dr Ste B-1, Plano, TX 75024-2266 | 2019-02-28 |
| 1043708019 | Oak Point Surgical Suites LLC | Clinic/Center | 2201 K Ave Ste B-100, Plano, TX 75074 | 2018-04-25 |
| 1518486091 | Legacy Trail Surgery Center | Clinic/Center | 7211 Preston Rd Ste 2100, Plano, TX 75024 | 2017-09-15 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1134516404 | Plano Texas Plastic Surgery Center | Clinic/Center | 5880 Ashmill Dr, Suite 200, Plano, TX 75024-0033 | 2015-04-23 |
| 1245657840 | Surgcenter of Plano LLC | Clinic/Center | 6101 Windhaven Parkway, Suite 195, Plano, TX 75093-8271 | 2014-03-21 |
| 1922438472 | Park Ambulatory Surgery Center, LLC | Clinic/Center | 5055 W Park Blvd Ste 800, Plano, TX 75093-2589 | 2013-11-20 |
| 1992721591 | Day Surgery Center of North Texas Ltd | Clinic/Center | 1701 Ohio Dr, Plano, TX 75093-5208 | 2006-07-15 |
| 1497797005 | Dallas Nephrology Associates | Clinic/Center | 4401 Tradition Trl, Plano, TX 75093 | 2006-06-11 |
| Find all providers in PLANO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.