LONESTAR SURGICAL SPECIALIST, PA (NPI# 1588600621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588600621 |
| Entity Type | Organization |
| Organization Name | LONESTAR SURGICAL SPECIALIST, PA |
| Practice Address |
2250 S Fm 51 Suite #900 Decatur TX 76234-3766 |
| Mailing Address |
Po Box 1080 Decatur TX 76234-6080 |
| Practice Telephone | 9706278825 |
| Practice Fax Number | 9402347004 |
| Mailing Telephone | 9406278825 |
| Mailing Fax Number | 9402347004 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-06-06 |
| Authorized Official Name | DR. DANIEL K MORRIS (PRESIDENT) |
| Authorized Official Telephone | 9406278825 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 020051776 | 01 |
| TX | 176323701 | 05 | |
| TX | BCBSTX | 0034MU | 01 |
| TX | RAILROAD | DG9003 | 01 |
| Street Address |
2250 S FM 51 SUITE #900 |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073562583 | Daniel K Morris | Surgery | 2250 S Fm 51, Suite #900, Decatur, TX 76234-3766 | 2006-05-10 |
| 1295121762 | Rachael Anderson | Physician Assistant | 2250 S Fm 51, Suite 900, Decatur, TX 76234-3766 | 2015-04-11 |
| 1881629624 | Miguel A Gutierrez | Family Medicine | 2250 S Fm 51, Ste 400, Decatur, TX 76234-3766 | 2006-07-11 |
| 1306884770 | Solaris Hospice Inc | Hospice Care, Community Based | 2250 S Fm 51, Suite 400, Decatur, TX 76234-3766 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487133278 | Usa Vascular Center of Decatur LLC | Surgery | 495 Winn Way Ste 230, Decatur, GA 30030-1736 | 2018-08-13 |
| 1356525448 | Mohamed Takki A Momin | Surgery | 2675 N Decatur Rd Ste 512, Decatur, GA 30033-6134 | 2007-12-26 |
| 1528040219 | Christopher Hastings Gram | Surgery | 1 Memorial Dr Ste 300, Decatur, IL 62526-6322 | 2005-11-17 |
| 1821070517 | Jeffrey David Trachtenberg | Surgery | 1750 E Lake Shore Drive, Ste 200, Decatur, IL 62521 | 2005-11-17 |
| 1912301003 | Usa Vein Clinics of Decatur LLC | Surgery | 495 Winn Way, Suite 220, Decatur, GA 30030-1736 | 2014-10-17 |
| 1710207022 | Brandon V Henry | Surgery | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2010-06-09 |
| 1174782254 | Mohammed Ashraf Arshad Khan | Surgery | 2701 N Decatur Rd, Attn : Vascular Surgery, Decatur, GA 30033-5918 | 2008-06-04 |
| 1972571107 | Albert Wildstein | Surgery | 2675 N Decatur Rd, Suite 210, Decatur, GA 30033 | 2006-03-14 |
| 1760464481 | Surgical Specialists of Central Illinois Sc | Surgery | 1750 E Lake Shore Dr, Ste 200, Decatur, IL 62521-3809 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| 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.