GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD
NPI 1255317384
Clinic/Center - Ambulatory Surgical in Longview, TX

Active since December 20, 2005
703 E MARSHALL AVE, SUITE 2000, LONGVIEW, TX 75601(903) 315-5300(903) 315-5301 Get Directions Write a Review

NPPES record last updated: May 13, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD

This page provides the complete NPI Profile along with additional information for Good Shepherd Ambulatory Surgical Center Ltd, a provider established in Longview, Texas operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1255317384 assigned on December 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 7792 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jerry D Adair (President/ceo)

NPI
1255317384 Verify this NPI
Provider Name
GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD
Entity Type
Organization
Location Address
703 E MARSHALL AVE SUITE 2000 LONGVIEW, TX 75601
Location Phone
(903) 315-5300
Location Fax
(903) 315-5301
Mailing Address
703 E MARSHALL AVE SUITE 2000 LONGVIEW, TX 75601
Mailing Phone
(903) 315-5300
Mailing Fax
(903) 315-5301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2005
Last Update Date
05-13-2009
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Location Map

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.
7792
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JERRY D ADAIR

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(903) 315-2000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========OTHER (01)TXTAX IDENTIFICATION NUMBER
ASC120MEDICARE ID-TYPE UNSPECIFIED (04)TX 
147239101MEDICAID (05)TX 
HH1354OTHER (01)TXBCBS OF TEXAS
122076OTHER (01)TXCHIPS/SUPERIOR HEALTH PLA
490005292MEDICARE ID-TYPE UNSPECIFIED (04)TXRAILROAD

Reviews for GOOD SHEPHERD AMBULATORY SURGICAL CENTER LTD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Neurological Surgery
703 E MARSHALL AVE, SUITE 3004
LONGVIEW, TX 75601
Internal Medicine (Pulmonary Disease)
703 E MARSHALL AVE, STE 3008
LONGVIEW, TX 75601
Anesthesiology
703 E MARSHALL AVE, #4002
LONGVIEW, TX 75601
Anesthesiology (Pain Medicine)
703 E MARSHALL AVE
LONGVIEW, TX 75601
Urology
703 E MARSHALL AVE, SUITE 5008
LONGVIEW, TX 75601
Registered Nurse (Registered Nurse First Assistant)
703 E MARSHALL AVE, SUITE 4003
LONGVIEW, TX 75601
Nurse Anesthetist, Certified Registered
703 E MARSHALL AVE, SUITE 2000
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Obstetrics & Gynecology
703 E MARSHALL AVE, SUITE 3000
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Obstetrics & Gynecology
703 E MARSHALL AVE, SUITE 3000
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Neurological Surgery
703 E MARSHALL AVE, SUITE 3004
LONGVIEW, TX 75601
Nurse Practitioner (Family)
703 E MARSHALL AVE, STE 3008
LONGVIEW, TX 75601
Urology
703 E MARSHALL AVE, SUITE 5008
LONGVIEW, TX 75601
Physician Assistant (Medical)
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Internal Medicine
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601
Physician Assistant
703 E MARSHALL AVE, SUITE 1001
LONGVIEW, TX 75601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255317384, enumerated as an "organization" on December 20, 2005.

The provider is located at 703 E MARSHALL AVE SUITE 2000 LONGVIEW, TX 75601 and the phone number is (903) 315-5300.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.