NCG SURGICAL SERVICES (NPI# 1023563749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023563749 |
| Entity Type | Organization |
| Organization Name | NCG SURGICAL SERVICES |
| Practice Address |
1004 Saddlebrook Dr Colleyville TX 76034-3829 |
| Practice Telephone | 9253306666 |
| Mailing Telephone | 9253306666 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |
| Authorized Official Name | NICOLE GUSSIS (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 9253306666 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA05759 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1004 SADDLEBROOK DR |
| City | COLLEYVILLE |
| State | TX |
| Zip Code | 76034-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538329511 | Nicole Correia Gussis | Physician Assistant | 1004 Saddlebrook Dr, Colleyville, TX 76034-3829 | 2008-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967283 | Lumi Eye Care | Optometrist | 3855 Glade Road, Colleyville, TX 76034 | 2020-09-17 |
| 1528552718 | Dental Sc, Pllc | Dentist | 6700 Colleyville Blvd, Colleyville, TX 76034 | 2018-06-20 |
| 1447763503 | Pekam Takusi | Pharmacist | 704 Strauss, Colleyville, TX 76034 | 2017-11-13 |
| 1982128484 | Van Beljon LLC | Chiropractor | 1124 Glade Rd, Suite 140, Colleyville, TX 76034 | 2017-07-27 |
| 1871031120 | Gena Willams | Occupational Therapist | 4113 Gateway Dr #200, Colleyville, TX 76034 | 2017-02-07 |
| 1700255486 | Village Lane Apothecary | Pharmacy | 60 Village Ln, Suite 130, Colleyville, TX 76034 | 2015-09-23 |
| 1679968333 | Amber Robinson | Counselor | 5209 Heritage Ave #210, Colleyville, TX 76034 | 2015-03-31 |
| 1013305978 | Stat Sleep of Colleyville, LLP | Clinic/Center | 6407 Colleyville Blvd Ste B, Colleyville, TX 76034 | 2014-12-30 |
| 1528468717 | Colverse Iom LLC | Neurological Surgery | 1308 Somerset Ct, Colleyville, TX 76034 | 2014-08-26 |
| 1356752703 | Ideal Dental of Colleyville, Pllc | Dentist | 4712 Colleyville Blvd, Suite 110, Colleyville, TX 76034 | 2014-05-19 |
| Find all providers in zip 76034 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137272 | Thomas Mark Lutrick | Physician Assistant | 4701 Manning Dr, Colleyville, TX 76034-4220 | 2006-06-04 |
| 1235191776 | Donna J Olson | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2006-04-03 |
| 1699267641 | Team Surgical Associates, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2018-06-05 |
| 1619091881 | Surgical Assisting Services, Pllc | Physician Assistant | 3901 Treemont Cir, Colleyville, TX 76034-8718 | 2007-03-16 |
| 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 | ||||
| City | COLLEYVILLE |
| Zip Code | 76034 |
Please comment or provide details below to improve the information on NCG SURGICAL SERVICES.
| 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.