CENTRAL DALLAS SURGERY CENTER, LLC (NPI# 1073999801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073999801 |
| Entity Type | Organization |
| Organization Name | CENTRAL DALLAS SURGERY CENTER, LLC |
| Other Organization Name | CENTRAL DALLAS SURGERY CENTER |
| Practice Address |
5920 Forest Park Rd Ste, 700 Dallas TX 75235-6411 |
| Practice Telephone | 2143502400 |
| Mailing Telephone | 2143502400 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |
| Authorized Official Name | ANDY CHEN (EVP OF FINANCE) |
| Authorized Official Telephone | 7133558614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
130245 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Central Dallas Surgery Center | Doing Business As Name - Organization |
| Street Address |
5920 FOREST PARK RD STE, 700 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415883 | Guy Kenneth Driggs | Orthopaedic Surgery | 5920 Forest Park Rd, Ste 530, Dallas, TX 75235-6413 | 2005-05-24 |
| 1710331202 | Grace Deng Yuan | Student in an Organized Health Care Education/Training Program | 5920 Forest Park Rd, Dallas, TX 75390-9165 | 2016-04-20 |
| 1356729784 | Rene M Mani | Pharmacist | 5920 Forest Park Rd, Suite 500, Dallas, TX 75235-6411 | 2015-05-18 |
| 1245635150 | Dickersondallaspain | Clinic/Center | 5920 Forest Park Rd, Suite 540, Dallas, TX 75235-6411 | 2014-11-04 |
| 1396979571 | Tasaduq Hussain Mir | Family Medicine | 5920 Forest Park Rd, # 601, Dallas, TX 75235-6411 | 2009-05-04 |
| 1598917916 | Baylen Diagnostic LLC | Radiologic Technologist | 5920 Forest Park Rd, Suite 560, Dallas, TX 75235-6411 | 2008-10-16 |
| 1215184460 | Podiatric Mid City Surgical Associates | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-08-19 |
| 1346405479 | Otow V Surgery | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-29 |
| 1376707885 | Moprem Surgical Associates Pa | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-14 |
| 1356503171 | Jw Surgical Associates | Clinic/Center | 5920 Forest Park Rd, Suite 700, Dallas, TX 75235-6411 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| 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 |
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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.