PSG SURGERY CENTER LLC (NPI# 1194245951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194245951 |
| Entity Type | Organization |
| Organization Name | PSG SURGERY CENTER LLC |
| Other Organization Name | SURGERY CENTER OF AMARILLO |
| Practice Address |
1010 S Coulter St Amarillo TX 79106-1781 |
| Practice Telephone | 8064188870 |
| Practice Fax Number | 8064186684 |
| Mailing Telephone | 8064188870 |
| Mailing Fax Number | 8064186684 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. MICHAEL LEE GRANT (ADMINISTRATOR) |
| Authorized Official Telephone | 8064188870 |
| 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 |
| Other Name | Type Code |
|---|---|
| Surgery Center of Amarillo | Doing Business As Name - Organization |
| Street Address |
1010 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780167866 | Domain Surgical, LLC | Clinic/Center | 2300 Wolflin Ave, Amarillo, TX 79109-1832 | 2018-09-13 |
| 1720572415 | Apc-amarillo Surgical Operating Company, LLC | Clinic/Center | 1901 Medi Park Dr Ste 1, Amarillo, TX 79106-2110 | 2018-06-18 |
| 1811387368 | Aua Surgical Center, LLC | Clinic/Center | 8207 West Amarillo Blvd, Amarillo, TX 79124 | 2015-02-04 |
| 1083643852 | Amarillo Colonoscopy Center Lp | Clinic/Center | 800 Quail Creek Drive, Suite 102, Amarillo, TX 79124-1634 | 2006-07-02 |
| 1922052364 | Amarillo Surgery and Endoscopy, Lp | Clinic/Center | #1 Care Circle, Amarillo, TX 79124-2106 | 2006-05-20 |
| 1467442418 | Northwest Texas Healthcare System Inc | Clinic/Center | 1501 S Coulter St, Amarillo, TX 79106-1770 | 2005-10-21 |
| 1164986683 | Proffer Surgical Center, Pllc | Clinic/Center | 1611 Wallace Blvd, Amarillo, TX 79106-1799 | 2019-01-29 |
| 1962860304 | Cca Asc, LLC | Clinic/Center | 6200 W I 40, Amarillo, TX 79106-2512 | 2016-01-31 |
| 1518356070 | Digestive Disease Center of Amarillo LLC | Clinic/Center | 6833 Plum Creek Dr, Amarillo, TX 79124-1602 | 2015-01-21 |
| 1407191984 | Bsa Hospital LLC | Clinic/Center | 1600 Wallace Blvd, Amarillo, TX 79106-1799 | 2012-12-10 |
| Find all providers in AMARILLO | ||||
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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.