Fish Pond Surgery Center, LLC
Fish Pond Surgery Center, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Waco, TX, holding Type 2 (organization) NPI 1477569069 since 2006. The authorized official on file is Jill Finke, Officer/Authorized Official.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477569069 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fish Pond Surgery Center, LLC |
| Practice address | 601 W HWY 6 STE 109, Waco, TX, 76710 |
| Phone | 2547519836 |
| Fax | 2547519868 |
| Enumeration date | 2006-08-01 |
| Last updated in NPPES | 2025-08-07 |
Authorized official
| Name | Jill Finke |
|---|---|
| Title | Officer/Authorized Official |
| Phone | 2104785430 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087985001 | Medicaid | TX | — |
Copy-ready billing details
Provider: Fish Pond Surgery Center, LLC NPI: 1477569069 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 601 W HWY 6 STE 109, Waco, TX, 76710
Verify this record
Cross-check NPI 1477569069 against the authoritative CMS record: view Fish Pond Surgery Center, LLC 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
Who is the authorized official for Fish Pond Surgery Center, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-07.