BAYLOR SURGICARE AT CENTENNIAL – NPI #1639146541
Clinic/Center

BAYLOR SURGICARE AT CENTENNIAL is an AHC clinic located in FRISCO, TX. NPPES has assigned the NPI number 1639146541 to BAYLOR SURGICARE AT CENTENNIAL on March 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BAYLOR SURGICARE AT CENTENNIAL” is a dba name, the actual legal business name for this organization is CENTENNIAL ASC, LLC. 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 last updated on Sep 18, 2024. 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 BAYLOR SURGICARE AT CENTENNIAL below.

NPI Profile for
CENTENNIAL ASC, LLC

NPI Number
1639146541
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
CENTENNIAL ASC, LLC
Doing Business As (dba): BAYLOR SURGICARE AT CENTENNIAL
Primary location
4401 COIT RD
SUITE 100
FRISCO, TX 75035
Phone: (214) 619-0120 Fax: (214) 619-0121
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONITA FLEMING
OFFICER / AUTHORIZED OFFICIAL
Phone: (202) 815-3665
Updated
Certification Date
Sep 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BAYLOR SURGICARE AT CENTENNIAL

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
otherBCBS OF TXTXHH065A
otherRAILROAD MEDICARETXP00617261
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 008203

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669