WATERMERE SURGERY CENTER LLC (NPI# 1821471640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821471640 |
| Entity Type | Organization |
| Organization Name | WATERMERE SURGERY CENTER LLC |
| Practice Address |
2815 W Southlake Blvd Ste 100 Southlake TX 76092-6726 |
| Mailing Address |
1000 Lipscomb St Ste 110 Fort Worth TX 76104-3181 |
| Practice Telephone | 8174313200 |
| Practice Fax Number | 8174313117 |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-10-22 |
| Authorized Official Name | VED V. AGGARWAL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9728498216 |
| 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 |
2815 W SOUTHLAKE BLVD STE 100 |
| City | SOUTHLAKE |
| State | TX |
| Zip Code | 76092-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730718990 | Elizabeth Beazley | Family Medicine | 1050 E. Hwy 114 Suite 100, Southlake, TX 76092 | 2020-04-08 |
| 1518508894 | Arbor Pediatrics, Pllc | Pediatrics | 1130 N Kimball Ave, Southlake, TX 76092 | 2019-10-08 |
| 1346882685 | Gs Ortho Assists, Pllc | Physician Assistant | 2600 East Southlake Boulevard Suite 120, Southlake, TX 76092 | 2019-10-08 |
| 1609340496 | Rebecca Leigh Lander | Physician Assistant | 1170 N Carroll Ave., Southlake, TX 76092 | 2019-01-15 |
| 1225506223 | Physicians Wellness Associates Pllc | Family Medicine | 1920 East State Highway 114, Southlake, TX 76092 | 2018-11-07 |
| 1740762459 | Brandi L. Barker | Chiropractor | 590 N. Kimball Ave, Suite 140, Southlake, TX 76092 | 2018-08-30 |
| 1033699228 | Julie A. Seeber | Physical Therapy Assistant | 170 Stonebridge Lane, Southlake, TX 76092 | 2018-08-16 |
| 1992281364 | Alayna Powers | Nurse Practitioner | 900 E Southlake Blvd Ste 300, Southlake, TX 76092 | 2018-07-18 |
| 1346732153 | Amrittej Singh Virk | Dentist | 630 N Kimball Ave Ste 110, Southlake, TX 76092 | 2018-06-06 |
| 1740779594 | Radiant Family Dental Pllc | Dentist | 2012 Southlake Glen Dr., Southlake, TX 76092 | 2018-05-08 |
| Find all providers in zip 76092 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844553 | Lone Star Endoscopy Center, LLC | Clinic/Center | 515 S Nolen Dr, Southlake, TX 76092-9167 | 2017-07-18 |
| 1649660168 | Miller Mac Group, LLC | Clinic/Center | 300 S Nolen Dr Ste 160, Southlake, TX 76092-8054 | 2015-02-04 |
| 1013218601 | Southlake Surgery Center, LLC | Clinic/Center | 521 W Southlake Blvd, Suite 175, Southlake, TX 76092-6173 | 2010-11-12 |
| 1073840971 | Surgical and Endoscopy Center of Southlake, LLC | Clinic/Center | 820 Deer Hollow Blvd, Southlake, TX 76092-8348 | 2009-11-13 |
| 1982716106 | Thr/stt Southlake Asc, LLC | Clinic/Center | 290 Miron Dr, Southlake, TX 76092-7858 | 2006-09-01 |
| 1083229173 | Grace Ambulatory Surgery Center | Clinic/Center | 470 E State Highway 114, Southlake, TX 76092-4406 | 2020-09-15 |
| 1033643747 | Select Asc Developers of Southlake, LLC | Clinic/Center | 3065 W Southlake Blvd, Southlake, TX 76092-6730 | 2017-04-19 |
| 1851759534 | Terri Suresh Acnp Pllc | Clinic/Center | 620 N Kimball Ave, Ste 100, Southlake, TX 76092-6855 | 2016-02-09 |
| 1235509993 | Pediatric Ambulatory Surgery Center Southlake | Clinic/Center | 470 E State Highway 114, Southlake, TX 76092-4406 | 2015-10-06 |
| 1376942987 | Virtuoso Surgery Center | Clinic/Center | 415 E Southlake Blvd Ste 202, Southlake, TX 76092-6280 | 2014-08-19 |
| Find all providers in SOUTHLAKE | ||||
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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.