BAYLOR SURGICARE AT MANSFIELD, LLC (NPI# 1992037352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992037352 |
| Entity Type | Organization |
| Organization Name | BAYLOR SURGICARE AT MANSFIELD, LLC |
| Other Organization Name | BAYLOR SCOTT & WHITE SURGICARE - MANSFIELD |
| Practice Address |
280 Regency Pkwy Mansfield TX 76063-7823 |
| Practice Telephone | 8174532744 |
| Practice Fax Number | 8178420007 |
| Mailing Telephone | 8174532744 |
| Mailing Fax Number | 8178420007 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | JENETHA D MORAN (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 |
130056 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE PTAN | P00847625 | 01 |
| Other Name | Type Code |
|---|---|
| Baylor Scott & White Surgicare - Mansfield | Doing Business As Name - Organization |
| Street Address |
280 REGENCY PKWY |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-7823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790945145 | Mansfield Surgical Plaza LLC | Clinic/Center | 280 Regency Pkwy, Mansfield, TX 76063-7823 | 2008-06-10 |
| 1992188510 | Mansfield Anesthesia Consultants Pllc | Anesthesiology | 280 Regency Pkwy, Mansfield, TX 76063-7823 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419678 | Methodist Mansfield Ambulatory Surgery Center, LLC | Clinic/Center | 252 Matlock Rd Fl 4, Mansfield, TX 76063-4294 | 2020-02-19 |
| 1578979902 | Paragon Plastic Surgery & Med Spa LLC. | Clinic/Center | 1101 Matlock Rd, Mansfield, TX 76063-3442 | 2014-07-07 |
| 1790945145 | Mansfield Surgical Plaza LLC | Clinic/Center | 280 Regency Pkwy, Mansfield, TX 76063-7823 | 2008-06-10 |
| 1093705774 | Surgicenter of Mansfield, Ltd. | Clinic/Center | 1030 Cricket Ln, Mansfield, OH 44906-4104 | 2005-10-25 |
| 1881695732 | Revision Advanced Surgery Center Inc | Clinic/Center | 240 W Cook Rd, Mansfield, OH 44907-2451 | 2005-08-02 |
| 1356960132 | Texas Health Hospital Mansfield | Clinic/Center | 2300 Lone Star Rd, Mansfield, TX 76063-8744 | 2020-04-13 |
| 1487988671 | Urology Associates Facility | Clinic/Center | 675 Bally Row, Mansfield, OH 44906-2967 | 2009-09-22 |
| 1134316201 | Medical Information Technology Consultants | Clinic/Center | 675 Bally Row, Mansfield, OH 44906-2967 | 2007-10-02 |
| 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.