SURGICAL ASSISTANTS OF GREATER HOUSTON (NPI# 1366647448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366647448 |
Entity Type | Organization |
Organization Name | SURGICAL ASSISTANTS OF GREATER HOUSTON |
Other Organization Name | SURGICAL ASSISTANTS OF GREATER HOUSTON |
Practice Address |
8104 Ephraim Rd Austin TX 78717-5334 |
Practice Telephone | 5126979816 |
Practice Fax Number | 5128286486 |
Mailing Telephone | 5126979816 |
Mailing Fax Number | 5128286486 |
Enumeration Date | 2007-06-18 |
Last Update Date | 2012-11-28 |
Authorized Official Name | MR. DENNIS MARRERO (CEO) |
Authorized Official Telephone | 5126979816 |
Authorized Official Credential | O.P.A.-C., CSFA- |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
103402 | TX | Technologists, Technicians & Other Technical Service Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
604 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ORTHOPEDIC SPECIALIST | 103402 | 01 | |
CERTIFIED FIRST ASSISTANT | 00F703 | 01 | |
TX | ORTHOPEDIC P.A. CERT # | 604 | 01 |
TX | CERTIFIED SURGICAL FIRST ASSISTANT | 103402 | 01 |
Other Name | Type Code |
---|---|
Surgical Assistants of Greater Houston | Doing Business As Name - Organization |
Street Address |
8104 EPHRAIM RD |
City | AUSTIN |
State | TX |
Zip Code | 78717-5334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
Find all providers in zip 78717 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
Find all providers in AUSTIN |
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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.