BAYSHORE SURGERY CENTER – NPI #1508829011
Clinic/Center

BAYSHORE SURGERY CENTER is an AHC clinic located in PASADENA, TX. NPPES has assigned the NPI number 1508829011 to BAYSHORE SURGERY CENTER on April 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYSHORE SURGERY CENTER” is a dba name, the actual legal business name for this organization is BAYSHORE SURGERY CENTER, LTD. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 19 years ago on Oct 22, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BAYSHORE SURGERY CENTER below.

NPI Profile for
BAYSHORE SURGERY CENTER, LTD

NPI Number
1508829011
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BAYSHORE SURGERY CENTER, LTD
Doing Business As (dba): BAYSHORE SURGERY CENTER
Primary location
3333 BAYSHORE BLVD
PASADENA, TX 77504-1952
Phone: (832) 386-0320 Fax: (832) 386-0240
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DON LIEDTKE
VICE PRESIDENT
Phone: (615) 344-5507
Updated
Identifiers

Identifiers for BAYSHORE SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX144393901
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 TX 007306

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.