METROCREST SURGERY CENTER LP (NPI# 1780683490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780683490 |
| Entity Type | Organization |
| Organization Name | METROCREST SURGERY CENTER LP |
| Other Organization Name | BAYLOR SURGICARE AT CARROLLTON |
| Practice Address |
4780 N Josey Ln Carrollton TX 75010-4615 |
| Practice Telephone | 9723950440 |
| Practice Fax Number | 9723950460 |
| Mailing Telephone | 9723950440 |
| Mailing Fax Number | 9723950460 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | JENETHA D MORAN (OFFICER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
7914 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00081899 | 01 |
| TX | AETNA | 7573453 | 01 |
| TX | BCBS | HH015A | 01 |
| TX | 161167501 | 05 |
| Other Name | Type Code |
|---|---|
| Baylor Scott & White Surgicare - Carrollton | Doing Business As Name - Organization |
| Baylor Surgicare at Carrollton | Doing Business As Name - Organization |
| Street Address |
4780 N JOSEY LN |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010-4615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998728 | Carrollton Or Surgical Affiliates Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-02-20 |
| 1952874257 | West Plano Surgery Specialist Pllc | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2019-01-09 |
| 1861969511 | Megan Elizabeth Carter | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-10-31 |
| 1760965842 | Holly Valle | Specialist/Technologist, Other | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2018-09-13 |
| 1366961104 | Julianne Joy Kucera | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2017-09-13 |
| 1013305945 | North Star Cn, Lp | Clinic/Center | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2014-12-30 |
| 1598106775 | Orthopedic Partners for Surgical Advancement | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-07-16 |
| 1013354307 | John Arvesen | Orthopaedic Surgery | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-05-28 |
| 1538409248 | Chelsea Michelle Bardwell | Physical Therapist | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2013-02-18 |
| 1336437698 | Natalie U Smith | Physician Assistant | 4780 N Josey Ln, Carrollton, TX 75010-4615 | 2011-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1932593936 | Lifeway Hospice, LLC | Hospice Care, Community Based | 4040 State Highway 121, Suite 140, Carrollton, TX 75010 | 2015-03-27 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952391591 | West Georgia Center for Plastic Surgery, LLC | Clinic/Center | 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117-4465 | 2005-10-25 |
| 1770019200 | Georgia Cataract and Eye Specialty Center LLC | Clinic/Center | 158 Clinic Ave, Suite B, Carrollton, GA 30117-4414 | 2017-05-03 |
| 1134663677 | Castle Hills Surgicare, LLC | Clinic/Center | 4221 Medical Pkwy, Building 100, Suite 100, Carrollton, TX 75010-4540 | 2016-12-16 |
| 1316233612 | Cpmsc Carrollton | Clinic/Center | 812 South Park Street, Suite 5-b, Carrollton, GA 30117 | 2011-06-24 |
| 1164619508 | Trinity Mc, LLC | Clinic/Center | 4343 N Josey Ln, Carrollton, TX 75010-4603 | 2007-10-01 |
| 1497897474 | Plastic Surgery Center of West Georgia | Clinic/Center | 150 Henry Burson Ave, Suite 200, Carrollton, GA 30117-4465 | 2007-02-13 |
| 1306938550 | West Georgia Endoscopy Center | Clinic/Center | 160 Clinic Ave, Carrollton, GA 30117-4451 | 2006-09-28 |
| 1255434221 | Carrollton Orthopaedic Surgery Center | Clinic/Center | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2006-09-06 |
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| 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 | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
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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.