SOUTHLAKE PAIN AND SURGERY CENTER
NPI 1649660168
Clinic/Center - Ambulatory Surgical in Southlake, TX

NPI Status: Active since February 04, 2015

Contact Information

300 S NOLEN DR STE 160
SOUTHLAKE, TX
ZIP 76092
Phone: (214) 618-5600
Fax: (214) 618-7733

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About SOUTHLAKE PAIN AND SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Southlake Pain And Surgery Center, a provider established in Southlake, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1649660168 assigned on February 2015. The practitioner's primary taxonomy code is 261QA1903X with license number 130212 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Southlake Pain And Surgery Center. The authorized official of this NPI record is Kim Sivaraman (Billing Manager)

NPI
1649660168
Provider Legal Name
MILLER MAC GROUP, LLC
Other Organization Name
SOUTHLAKE PAIN AND SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
300 S NOLEN DR STE 160 SOUTHLAKE, TX 76092
Location Phone
(214) 618-5600
Location Fax
(214) 618-7733
Mailing Address
5566 MAIN ST STE 210 FRISCO, TX 75033
Mailing Phone
(214) 618-5600
Mailing Fax
(214) 618-7733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-04-2015
Last Update Date
02-11-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
130212
License State
TX

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM SIVARAMAN

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(214) 618-5600

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649660168
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891260112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 6 + 0 + 1 + 1 + 2 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1649660168 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346726114DALLAS ANESTHESIA TEAM PLLC
Organization
Anesthesiology (Pain Medicine)300 S NOLEN DR STE 160
SOUTHLAKE, TX 76092
(214) 605-3875

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649660168, enumerated in the NPI registry as an "organization" on February 04, 2015

The provider is located at 300 S Nolen Dr Ste 160 Southlake, Tx 76092 and the phone number is (214) 618-5600

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on February 04, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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