PROSURG SURGICAL ASSISTING LLC (NPI# 1003352840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003352840 |
| Entity Type | Organization |
| Organization Name | PROSURG SURGICAL ASSISTING LLC |
| Practice Address |
3077 N Goliad St Rockwall TX 75087-7050 |
| Practice Telephone | 2149062875 |
| Practice Fax Number | 9727711825 |
| Mailing Telephone | 2149062875 |
| Mailing Fax Number | 9727711825 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | MANDY MCCARVER (PRESIDENT) |
| Authorized Official Telephone | 2149062875 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
168736 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3077 N GOLIAD ST |
| City | ROCKWALL |
| State | TX |
| Zip Code | 75087-7050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452309 | Schweers Dental Pllc | Clinic/Center | 3005 N Goliad St., Suite 110, Rockwall, TX 75087 | 2020-03-19 |
| 1467091611 | Elsa Varughese | Nurse Practitioner | 414 Garrett Dr, Rockwall, TX 75087 | 2020-01-04 |
| 1578105391 | Jaya Raji Mathai | Psychiatry & Neurology | 2249 Ridge Rd., Rockwall, TX 75087 | 2019-10-14 |
| 1104326784 | Eunice B Ontita | Nurse Practitioner | 601 White Hills Dr., Suite 100, Rockwall, TX 75087 | 2018-02-20 |
| 1053811885 | Emelda Fehnyui Ndinjiakat | Licensed Vocational Nurse | 610 Louder Way, Fate, TEXAS 75087 | 2018-02-19 |
| 1588163885 | January Lauren Green | Nurse Practitioner | 6800 Heritage Parkway, Suite 201, Rockwall, TX 75087 | 2018-02-02 |
| 1093268328 | Anouk Family Chiropractic, Pllc | Chiropractor | 2555 Ridge Rd #150, Rockwall, TX 75087 | 2016-08-03 |
| 1962858134 | Katherine L. Crane | Counselor | 302 W. Kaufman St., Rockwall, TX 75087 | 2016-05-06 |
| 1669841102 | Richard Carroll Smith | Obstetrics & Gynecology | 2120 Clubview, Rockwall, TX 75087 | 2015-09-15 |
| 1033598032 | Michelle Knight | Massage Therapist | 767 Justin Rd, Rockwall, TX 75087 | 2015-05-22 |
| Find all providers in zip 75087 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942754395 | Mandy Natasha Mccarver | Physician Assistant | 3924 Cameron Ln, Rockwall, TX 75087-6593 | 2016-08-14 |
| 1205445954 | Surgical Reconstruction Services, Pllc | Physician Assistant | 3136 Horizon Rd Ste 100, Rockwall, TX 75032-7808 | 2020-07-29 |
| 1285270462 | Kimberly Amezquita | Physician Assistant | 3136 Horizon Rd Ste 100, Rockwall, TX 75032-7808 | 2019-11-21 |
| 1891299814 | Jennifer Michelle Wells | Physician Assistant | 1301 Summer Lee Dr, Rockwall, TX 75032-5452 | 2018-03-23 |
| 1033628383 | Jordan Fayth Cooke | Physician Assistant | 3136 Horizon Rd Ste 100, Rockwall, TX 75032-7808 | 2017-09-28 |
| 1902135072 | Surgical Assistance of Texas, LLC. | Physician Assistant | 3021 Ridge Rd, Suite A231, Rockwall, TX 75032-5806 | 2009-12-18 |
| 1831357235 | Marcus Alandis Cotton Sr. | Physician Assistant | 1301 Summer Lee Drive, Rockwall, TX 75032 | 2008-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.