PRG DALLAS ASC, LP (NPI# 1871529388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871529388 |
| Entity Type | Organization |
| Organization Name | PRG DALLAS ASC, LP |
| Other Organization Name | KEY-WHITMAN SURGERY CENTER |
| Practice Address |
11442 N. Central Expressway Dallas TX 75243 |
| Practice Telephone | 2147540000 |
| Practice Fax Number | 2143791849 |
| Mailing Telephone | 2147540000 |
| Mailing Fax Number | 2143791849 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | MATTHEW CHAPMAN (BILLING DIRECTOR) |
| Authorized Official Telephone | 2147540000 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
007966 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 087975101 | 05 |
| Other Name | Type Code |
|---|---|
| Key-Whitman Surgery Center | Doing Business As Name - Organization |
| Street Address |
11442 N. CENTRAL EXPRESSWAY |
| City | DALLAS |
| State | TX |
| Zip Code | 75243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699728386 | Larry Fish | Specialist | 11442 N. Central Expressway, Dallas, TX 75243 | 2006-05-17 |
| 1912057373 | Patrick Daniel Colerick | Optometrist | 11442 N. Central Expressway, Dallas, TX 75243 | 2007-01-10 |
| 1669401162 | Jeffrey Whitman | Ophthalmology | 11442 N. Central Expressway, Dallas, TX 75243 | 2006-06-30 |
| 1659300168 | Jw Eye Associates Pa | Eyewear Supplier (Equipment, not the service) | 11442 N. Central Expressway, Dallas, TX 75243 | 2006-06-30 |
| 1285660654 | Todd J Agnew | Optometrist | 11442 N. Central Expressway, Dallas, TX 75243 | 2006-06-25 |
| 1285679803 | Jw Eye Associates, Pa | Optometrist | 11442 N. Central Expressway, Dallas, TX 75243 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
| 1235257130 | Swiss Avenue Surgicenter Management LLC | Clinic/Center | 4103 Swiss Ave Ste B, Dallas, TX 75204-8102 | 2007-03-27 |
| 1265596787 | Dallas Day Surgery Center | Clinic/Center | 411 No Washington, Suite 5400, Dallas, TX 75246-1776 | 2006-12-20 |
| 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.