FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC (NPI# 1649252883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649252883 |
| Entity Type | Organization |
| Organization Name | FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC |
| Other Organization Name | NACOGDOCHES SURGERY CENTER |
| Practice Address |
3610 N University Dr Nacogdoches TX 75965-2539 |
| Practice Telephone | 9365609599 |
| Practice Fax Number | 9365606933 |
| Mailing Telephone | 9365609599 |
| Mailing Fax Number | 9365606933 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | MR. JIMMIE WILLIAMS (ADMINIATRATOR) |
| Authorized Official Telephone | 9365609599 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
007238 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Nacogdoches Surgery Center | Doing Business As Name - Organization |
| Street Address |
3610 N UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932635752 | Grasshopper Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 3610 N University Dr, Nacogdoches, TX 75965-2539 | 2017-05-11 |
| 1568541308 | R. Kent Cannaday, Crna, Pllc | Nurse Anesthetist, Certified Registered | 3610 N University Dr, Nacogdoches, TX 75965-2539 | 2006-11-03 |
| 1598844359 | Rodney Kent Cannaday | Nurse Anesthetist, Certified Registered | 3610 N University Dr, Nacogdoches, TX 75965-2539 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326182197 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1881738607 | Nacogdoches County Hospital District | Clinic/Center | 1204 N Mound St, Nacogdoches, TX 75961-4027 | 2007-02-16 |
| 1306989249 | Medical Arts Surgery Center LLC | Clinic/Center | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2007-02-14 |
| 1134236714 | Lyle Thorstenson Md | Clinic/Center | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2006-08-23 |
| 1497869267 | Doctors Surgery Center, Inc | Clinic/Center | 5300 North St, Nacogdoches, TX 75965-1370 | 2006-08-18 |
| 1003835265 | East Texas Cardiovascular Labs LLC | Clinic/Center | 1303 N Mound St, Nacogdoches, TX 75961-4030 | 2006-07-19 |
| 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 | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC.
| 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.