{"npi":"1265620991","type":"NPI-2","status":"active","name":{"display":"Cedar Park Surgeons PA","other":[],"organization_name":"CEDAR PARK SURGEONS PA","authorised_official":"Nicole Basa"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"TX","license":"M7029"}]},"addresses":[{"purpose":"LOCATION","street_1":"1410 MEDICAL PKWY STE 1","city":"CEDAR PARK","state":"TX","postal_code":"786132543","country_code":"US","phone":"5122603444","fax":"5122603555"},{"purpose":"MAILING","street_1":"1410 MEDICAL PKWY STE 1","city":"CEDAR PARK","state":"TX","postal_code":"786132543","country_code":"US","phone":"5122603444","fax":"5122603555"}],"license":{"state":"TX","number":"M7029"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"190188601","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"0020QH","state":"TX","issuer":"BCBS TX"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20071213000858","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"6901996909"}]},"enumeration_date":"2007-10-09","last_updated":"2024-07-22","_meta":{"source":"NPPES","snapshot_date":"2024-07-22","doc_url":"https://findmynpi.com/api"}}