Addison Surgical Services, Pllc
Addison Surgical Services, Pllc is a healthcare organization registered as Surgical Physician Assistant in Addison, TX, holding Type 2 (organization) NPI 1104342948 since 2017. The authorized official on file is Andrew Park, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104342948 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Addison Surgical Services, Pllc |
| Practice address | 17051 DALLAS PKWY STE 400, Addison, TX, 75001 |
| Phone | 2143703535 |
| Enumeration date | 2017-08-14 |
| Last updated in NPPES | 2017-08-14 |
Authorized official
| Name | Andrew Park |
|---|---|
| Title | President |
| Phone | 2143703535 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant | Primary | — | — |
Copy-ready billing details
Provider: Addison Surgical Services, Pllc NPI: 1104342948 Taxonomy: 363AS0400X (Surgical Physician Assistant) Address: 17051 DALLAS PKWY STE 400, Addison, TX, 75001
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811992936 | Cameron Carmody | Individual | Specialist | Addison, TX |
| 1679572499 | Jonathan Quinby | Individual | Sports Medicine (Orthopaedic Surgery) Physician | Addison, TX |
| 1730146473 | Robert Viere | Individual | Orthopaedic Surgery of the Spine Physician | Addison, TX |
| 1083664528 | Chun Lin | Individual | Physical Medicine & Rehabilitation Physician | Addison, TX |
| 1013021161 | Mark Glass | Individual | Surgical Physician Assistant | Addison, TX |
| 1821119116 | Kimberly Myers | Individual | Family Nurse Practitioner | Addison, TX |
| 1770795387 | Michael Hennessy | Individual | Orthopaedic Surgery of the Spine Physician | Addison, TX |
| 1013102524 | Cameron N. Carmody, M.D., P.A. | Organization | Specialist | Addison, TX |
Verify this record
Cross-check NPI 1104342948 against the authoritative CMS record: view Addison Surgical Services, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Addison Surgical Services, Pllc?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-08-14.