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SURGICAL ASSOCIATES NPI 1164478640


NPI Information

NPI: 1164478640
Provider Name: SURGICAL ASSOCIATES
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
221 W COLORADO BLVD
SUITE 100
DALLAS, TX
ZIP 75208
Phone: (214) 943-8605
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SURGICAL ASSOCIATES is a surgery in Dallas, TX. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SURGICAL ASSOCIATES NPI is 1164478640. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 W COLORADO BLVD
SUITE 100
DALLAS, TX
ZIP 75208-363
Phone: (214) 943-8605
Fax: (214) 942-8463

The provider's authorized official is Cheryl Rogers .
The authorized official title is Billing Manager and has the following contact phone number (214) 943-8605.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryE7053TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18A6735MEDICARE ID-TYPE UNSPECIFIEDTEXASALICIA MANGRAM
2G51602MEDICARE UPINTEXAS
3E10944MEDICARE UPINTEXAS
4890586MEDICARE ID-TYPE UNSPECIFIEDTEXASRICHARD DICKERMAN
5126263603MEDICAIDTEXAS
6020027451OTHERTEXASMARTIN KOONSMAN
7H42389MEDICARE UPINTEXAS
8144729404MEDICAIDTEXAS
98U0030OTHERTEXASDHIRESH ROHAN JEYARAJAH
10F86948MEDICARE UPINTEXAS
11B22256MEDICARE UPINTEXAS
128D8577MEDICARE ID-TYPE UNSPECIFIEDTEXASDHIRESH ROHAN JEYARAJAH
13020009489OTHERTEXASRICHARD DICKERMAN
14P00250455OTHERTEXASDHIRESH ROHAN JEYARAJAH
15118128101MEDICAIDTEXAS
1688T751MEDICARE ID-TYPE UNSPECIFIEDTEXASMARTIN KOONSMAN
17097588001MEDICAIDTEXAS
18104687203MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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