SURGICAL MEDICAL SERVICES, LLC (NPI# 1215205521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215205521 |
| Entity Type | Organization |
| Organization Name | SURGICAL MEDICAL SERVICES, LLC |
| Practice Address |
623 Marlys Ave Canyon Lake TX 78133-1997 |
| Practice Telephone | 2102418433 |
| Practice Fax Number | 8773340715 |
| Mailing Telephone | 2102418433 |
| Mailing Fax Number | 8773340715 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | JOSE P MORIN (SURGICAL ASSISTANT) |
| Authorized Official Telephone | 2102418433 |
| Authorized Official Credential | CSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
623 MARLYS AVE |
| City | CANYON LAKE |
| State | TX |
| Zip Code | 78133-1997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154440873 | Jose P. Morin | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2007-03-28 |
| 1225348048 | Hill Country Surgical Assistants | Specialist/Technologist, Other | 623 Marlys Ave, Canyon Lake, TX 78133 | 2010-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309571 | Amanda Mills | Registered Nurse | 1811 Montview, Canyon Lake, TX 78133 | 2020-09-01 |
| 1104301902 | Jannah Holley Vise | Acupuncturist | 190 Crazy Horse Trail, Canyon Lake, TX 78133 | 2018-09-27 |
| 1023480555 | Brookshire Brothers Inc | Pharmacy | 18275 Fm 306, Canyon Lake, TX 78133 | 2015-10-23 |
| 1619059060 | Brandon Grimm D.c. P.a. | Chiropractor | 14812 South Access Road, Canyon Lake, TX 78133 | 2006-10-19 |
| 1649543455 | Jeffrey Quentin Harper | Chiropractor | 1742 Fm 2673, Canyon Lake, TX 78133 | 2012-02-10 |
| 1376554253 | Don Coleman | Rehabilitation Practitioner | 111 Toye Blvd, Canyon Lake, TX 78133 | 2006-08-10 |
| 1063943041 | Windmill Wellness Ranch LLC | Substance Abuse Rehabilitation Facility | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2017-03-22 |
| 1174143051 | Joseph Lee Kastigar | Peer Specialist | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2020-04-21 |
| 1083250799 | Lynette Slebrch | Counselor | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2019-11-18 |
| 1558902601 | Lauren Elizabeth O'connor | Social Worker | 26229 N Cranes Mill Rd, Canyon Lake, TX 78133-1957 | 2019-09-30 |
| Find all providers in zip 78133 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760590 | Theresa Vannoy Parada | Specialist | 13310 Bee St, Farmers Branch, TX 75234-6117 | 2020-11-05 |
| 1881294635 | Skinful LLC | Specialist | 3921 E Stan Schlueter Loop Ste 102, Killeen, TX 76542-6371 | 2020-10-30 |
| 1871100313 | Your Choice Healthcare | Specialist | 1111 N I 35 E, Desoto, TX 75115-3509 | 2020-09-29 |
| 1306450226 | Circulum LLC | Specialist | 600 Mark Drive, Alrington, TX 76013-2013 | 2020-09-08 |
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1699399675 | Hannah Stewart | Specialist | 2202 93rd St, Lubbock, TX 79423-4338 | 2020-06-04 |
| 1841810306 | Abc Surgical, LLC | Specialist | 6 Twin Circle Dr, Beaumont, TX 77706-5304 | 2020-04-24 |
| 1093334039 | Sport Is Religion | Specialist | 8641 Las Vegas Ct Apt 2722, Fort Worth, TX 76116-0044 | 2020-04-09 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| Find all providers with the same taxonomy | ||||
| City | CANYON LAKE |
| Zip Code | 78133 |
Please comment or provide details below to improve the information on SURGICAL MEDICAL SERVICES, LLC.
| 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.