SURGERY ASSOCIATES OF NORTH TEXAS P A (NPI# 1255355715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255355715 |
| Entity Type | Organization |
| Organization Name | SURGERY ASSOCIATES OF NORTH TEXAS P A |
| Practice Address |
3322 Colorado Blvd Suite 101 Denton TX 76210-6864 |
| Practice Telephone | 9403877588 |
| Practice Fax Number | 9405660881 |
| Mailing Telephone | 9403877588 |
| Mailing Fax Number | 9405660881 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-11-05 |
| Authorized Official Name | DEBBY I SHYTLES (CREDENTIALING) |
| Authorized Official Telephone | 9403877588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 083992001 | 05 | |
| TX | BLUE CROSS OF TEXAS | 00MT04 | 01 |
| Street Address |
3322 COLORADO BLVD SUITE 101 |
| City | DENTON |
| State | TX |
| Zip Code | 76210-6864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700809480 | Carlos P Cruz | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2006-07-25 |
| 1134522691 | Surgery Associates of Ntx, Pllc | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6888 | 2014-09-29 |
| 1083818652 | Stephen Paul Lester | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2007-06-14 |
| 1710192224 | Sally A Connaughton | Specialist/Technologist, Other | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2007-05-10 |
| 1396768016 | Denton Vascular Lab Inc | Clinic/Center | 3322 Colorado Blvd, Suite 102, Denton, TX 76210-6864 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403716 | Corinth Community Pharmacy, LLC. | Pharmacy | 3001 F.m. 2181, Suite 450, Corinth, TX 76210 | 2020-03-26 |
| 1003467200 | Stephanie R Rynor I | Nurse Practitioner | 3001 Fm 2181 Ste 300, Corinth, TX 76210 | 2019-09-28 |
| 1417435389 | Ikids Pediatric Dentistry Denton, Pllc | Dentist | 1212 Bent Oaks Ct Ste 100, Denton, TX 76210 | 2018-08-02 |
| 1083100101 | Ahir Dental Pllc | Dentist | 3220 Teasley Ln, Suite#100, Dention, TX 76210 | 2018-07-02 |
| 1235636010 | Diane Michelle Dean | Counselor | 2701 Shoreline Drive, Denton, TX 76210 | 2018-04-09 |
| 1740709344 | Southridge Dental, LLC | Dentist | 3303 Unicorn Lake Blvd, Ste 200, Denton, TX 76210 | 2017-09-14 |
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1366990137 | Phee Dental Group | Dentist | 4920 Teasley Ln, Denton, TX 76210 | 2016-09-21 |
| 1265893283 | Ann Marie Norris | Respiratory Therapist, Registered | 3535 E I-35, Denton, TX 76210 | 2016-03-18 |
| 1447644778 | Santa Patricia Espinoza | Nurse Practitioner | 3537 South Interstate 35e, Ste. 210, Denton, TX 76210 | 2015-03-25 |
| Find all providers in zip 76210 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619268133 | North Texas Vascular Specialists Pa | Surgery | 2900 N I-35 Ste 105, Denton, TX 76201-5142 | 2011-05-02 |
| 1194952911 | Anthony Louis Rios | Surgery | 3322 Colorado Blvd Ste 101, Denton, TX 76210 | 2009-06-19 |
| 1700809480 | Carlos P Cruz | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6864 | 2006-07-25 |
| 1124027164 | George William Johnson Jr. | Surgery | 3333 Colorado Blvd, Denton, TX 76210-6817 | 2005-07-20 |
| 1134522691 | Surgery Associates of Ntx, Pllc | Surgery | 3322 Colorado Blvd, Suite 101, Denton, TX 76210-6888 | 2014-09-29 |
| 1457784118 | Iheart Practice Denton Pllc | Surgery | 3304 Colorado Blvd, Ste 202, Denton, TX 76210-6871 | 2013-08-16 |
| 1811969348 | Yasir Suliman | Surgery | 3537 S Interstate 35 E, Suite 305, Denton, TX 76210-6800 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
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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.