SHANNON SURGERY CENTER
NPI 1801825955
Clinic/Center - Ambulatory Surgical in San Angelo, TX

Active since July 01, 2006CLIA 45D1024353 · Waiver
4482 SUNSET DR, SAN ANGELO, TX 76901(325) 486-5800(325) 486-5850 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON SURGERY CENTER (NPI 1801825955) is a healthcare organization registered as an ambulatory surgical in San Angelo, Texas and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Chuck Dawson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801825955
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCONCHO SURGICAL PARTNERSHIP, LTD
Location Address4482 SUNSET DRSan Angelo, TX 76901-5611
Mailing Address4482 Sunset DrSan Angelo, TX 76901-5611 · (325) 486-5800 · Fax (325) 486-5850
Fax(325) 486-5850
Organization SubpartNo
Authorized OfficialChuck DawsonExecutive Director · (325) 486-5801
Enumeration DateJuly 1, 2006
Last NPPES UpdateNovember 21, 2007
NPI 1801825955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in TX · 008290
4482 SUNSET DR, San Angelo, TX 76901

Other Names 1

Doing Business AsShannon Surgery Center

Other Identifiers 1

Medicare ID-Type UnspecifiedASC273TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D1024353

Shannon Surgery Center South · San Angelo, TX
Active · expires Apr 7, 2028
CLIA Number45D1024353
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorMichael A. Nesbitt Rn
Laboratory Phone(325) 947-6811
Laboratory LocationShannon Surgery Center South3605 Executive Drive, San Angelo, TX 76904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Concho Surgical Partnership, Ltd's NPI number?

The NPI number for Concho Surgical Partnership, Ltd is 1801825955. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Shannon Surgery Center.

Where is Concho Surgical Partnership, Ltd located?

Concho Surgical Partnership, Ltd is located at 4482 Sunset Dr, San Angelo, TX 76901. The listed phone number is (325) 486-5800.

What is Concho Surgical Partnership, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Concho Surgical Partnership, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1024353) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Concho Surgical Partnership, Ltd was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.