SPORTSORTHO SURGERY CENTER LLC (NPI# 1407202484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407202484 |
| Entity Type | Organization |
| Organization Name | SPORTSORTHO SURGERY CENTER LLC |
| Practice Address |
610 Kamali Dr Harlingen TX 78550 |
| Mailing Address |
Po Box 531060 Harlingen TX 78553-1060 |
| Practice Telephone | 9563712243 |
| Mailing Telephone | 9562323088 |
| Mailing Fax Number | 9562323077 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | ETHEL MORTON (DIRECTOR) |
| Authorized Official Telephone | 9562323088 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA ID NUMBER | 45D2145076 | 01 |
| TX | STATE LICENSE | 130384 | 01 |
| Street Address |
610 KAMALI DR |
| City | HARLINGEN |
| State | TX |
| Zip Code | 78550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378077 | Bruce Dylan Bauer | Pharmacist | 1921 South Sunshine Strip, Harlingen, TX 78550 | 2020-08-25 |
| 1952920647 | Av Rehab LLC | Skilled Nursing Facility | 2902 S 77 Sunshine Strip, Harlingen, TX 78550 | 2020-04-13 |
| 1982260105 | Daniella Concha | Student in an Organized Health Care Education/Training Program | 3102 Haine Drive, Apt 411, Harlingen, TX 78550 | 2019-05-13 |
| 1669036539 | Ayman Khaddam | Student in an Organized Health Care Education/Training Program | 2121 Pease Street, Mob Suite 200, Vbmc - Utrgv Im, Harlingen, TX 78550 | 2019-04-26 |
| 1104382738 | Abrazos De Jesus Healthcare, LLC | Home Health | 804 N Commerce, Harlingen, TX 78550 | 2019-02-19 |
| 1912462136 | Deep Sea Dental Pllc | Clinic/Center | 603 South Expressway 83, Suite H2, Harlingen, TX 78550 | 2019-02-01 |
| 1710442082 | Mary Angela Alexander | Dietitian, Registered | 1740 Christian Cir, Harlingen, TX 78550 | 2019-01-31 |
| 1376025080 | El Valle Quality Home Care | Technician | 1212 E. Harrison Ave, Suite 136, Harlingen, TX 78550 | 2018-08-30 |
| 1144717547 | Velma Hughes | Nurse Practitioner | 2424 Riverside Drive, Harlingen, TX 78550 | 2018-04-20 |
| 1730686494 | Angelica Maria Ortiz | Student in an Organized Health Care Education/Training Program | Utrgv Psychiatry Residency Program, 2102 Treasure Hills Blvd, Harlingen, TX 78550 | 2018-04-10 |
| Find all providers in zip 78550 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992178354 | Hassan A Shaer | Clinic/Center | 701 Sonesta Ct Apt 4, Harlingen, TX 78550-2839 | 2015-11-06 |
| 1336246099 | Valley Baptist Ambulatory Surgery Center, LLC | Clinic/Center | 2220 Pease St, Harlingen, TX 78550-8308 | 2006-09-17 |
| 1235102344 | The Harlingen Endoscopy Center Lp | Clinic/Center | 3101 S 77 Sunshinestrip, Suite B, Harlingen, TX 78550-8904 | 2006-02-09 |
| 1881688976 | Harlingen Medical Center Limited Partnership | Clinic/Center | 5501 S Expressway 77, Harlingen, TX 78550-3213 | 2005-09-06 |
| 1639799455 | South Heart Cardiovascular Institute, LLC | Clinic/Center | 2310 N Ed Carey Dr Ste 1a, Harlingen, TX 78550-8200 | 2020-04-22 |
| 1710203427 | Harlingen Surgical Center, LLC | Clinic/Center | 1515 N Ed Carey Dr, Harlingen, TX 78550-8209 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326785 | Texas Partners Center | Clinic/Center | 3304 Colorado Blvd Ste 203, Denton, TX 76210-6873 | 2020-11-02 |
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
| 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.