SWISS AVENUE SURGICENTER MANAGEMENT LLC (NPI# 1235257130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235257130 |
| Entity Type | Organization |
| Organization Name | SWISS AVENUE SURGICENTER MANAGEMENT LLC |
| Other Organization Name | SWISS AVENUE SURGICENTER LP |
| Practice Address |
4103 Swiss Ave Ste B Dallas TX 75204-8102 |
| Practice Telephone | 2148212001 |
| Practice Fax Number | 2148212047 |
| Mailing Telephone | 2148212001 |
| Mailing Fax Number | 2148212047 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SUSAN YVONNE ROTHMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2148212001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
008097 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Swiss Avenue Surgicenter LP | Doing Business As Name - Organization |
| Street Address |
4103 SWISS AVE STE B |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-8102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538393665 | Comprehensive Interventional Pain Procedure Center | Clinic/Center | 4103 Swiss Ave Ste B, Dallas, TX 75204-8102 | 2009-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083262091 | Mtv Ir Lab, LLC | Clinic/Center | 9101 N Central Expy Ste 520, Dallas, TX 75231-5955 | 2019-09-03 |
| 1245798826 | Surgcenter of Greater Dallas, LLC. | Clinic/Center | 11411 E Northwest Hwy Ste 220, Dallas, TX 75218-1437 | 2019-03-04 |
| 1700389822 | Center for Spine Interventions Asc 2 | Clinic/Center | 2713 Charles Hardy Parkway, Ste. 224, Dallas, GA 30157-9470 | 2018-03-15 |
| 1437664406 | Montfort Surgical Center Pllc | Clinic/Center | 5520 Lbj Fwy Ste 150, Dallas, TX 75240-2313 | 2017-12-12 |
| 1588993034 | North Texas Surgery Center LLC | Clinic/Center | 2430 Victory Park Ln Apt 2401, Dallas, TX 75219-7607 | 2009-12-11 |
| 1356579924 | Metro Surgical Associates | Clinic/Center | 5920 Forest Park Rd Ste 700, Dallas, TX 75235-6414 | 2009-06-23 |
| 1558517672 | Paragon Ambulatory Health Resources, LLC | Clinic/Center | 5600 W Lovers Ln # 116-349, Dallas, TX 75209-4330 | 2008-08-08 |
| 1043491244 | Sierra Surgery Center | Clinic/Center | 5468 La Sierra Dr Ste 100, Dallas, TX 75231-4170 | 2007-11-16 |
| 1265596787 | Dallas Day Surgery Center | Clinic/Center | 411 No Washington, Suite 5400, Dallas, TX 75246-1776 | 2006-12-20 |
| 1003978115 | Surgery Center of Garland, LLC | Clinic/Center | 12610 E Northwest Highway, Dallas, TX 75228-8010 | 2006-12-14 |
| Find all providers in DALLAS | ||||
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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.