BASILISA SURGICAL ASSISTANT, LLC (NPI# 1528453768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528453768 |
| Entity Type | Organization |
| Organization Name | BASILISA SURGICAL ASSISTANT, LLC |
| Practice Address |
25200 Interstate 45 Apt 104 Spring TX 77386-1414 |
| Mailing Address |
330 Rayford Rd Ste 238 Spring TX 77386-1980 |
| Practice Telephone | 8329087831 |
| Mailing Telephone | 8329087831 |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |
| Authorized Official Name | MANUEL SALVADOR LOPEZ CARDENAS (OWNER) |
| Authorized Official Telephone | 8329087831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
25200 INTERSTATE 45 APT 104 |
| City | SPRING |
| State | TX |
| Zip Code | 77386-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573765 | William Cooper Buschemeyer IIi, M.d. P.a. | Urology | 26620 Interstate 45-north, The Woodlands, TX 77386 | 2020-09-22 |
| 1205452554 | Kira Marie Levy | Specialist | 25700 I-45 #415, Spring, TX 77386 | 2020-06-23 |
| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1366906257 | Einstein's Pharmacy LLC | Pharmacy | 25190 I-45, Suite B2d, Spring, TX 77386 | 2019-01-25 |
| 1679043202 | Gershom Jinhyun Kim | Physical Therapist | 500 Spring Hill Drive #120, Spring, TX 77386 | 2018-11-27 |
| 1205349065 | Brazos Care Pharmacy LLC | Pharmacy | 990 Rayford Rd Ste 106, Spring, TX 77386 | 2017-11-14 |
| 1740718071 | Ideal Dental of Rayford Pllc | Dentist | 2200 Rayford Road, Suite 101, Spring, TX 77386 | 2017-05-31 |
| 1114453453 | Apollo Rehab At Woodlands, LLC | Skilled Nursing Facility | 24854 Cathedral Lakes Pkwy, Spring, TX 77386 | 2017-05-05 |
| 1093261620 | Pregnancy Assistance Center North | Clinic/Center | 26464 Interstate 45 North, Spring, TX 77386 | 2016-09-01 |
| 1861945388 | Scd,pllc | Dentist | 2833 Riley Fuzzel Rd, Suite #500, Spring, TX 77386 | 2016-08-02 |
| Find all providers in zip 77386 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515634 | Carlos Alberto Rodriguez Villalobos | Specialist/Technologist, Other | 16414 Stuebner Airline Rd Apt 504, Spring, TX 77379-7366 | 2019-02-24 |
| 1417459579 | Fraidelys Faure Rodriguez | Specialist/Technologist, Other | 24115 Stargazer Pt, Spring, TX 77373-7899 | 2018-03-05 |
| 1689103822 | Yaneira Jimenez Guzman | Specialist/Technologist, Other | 2503 Spring Day Ct, Spring, TX 77373-8926 | 2017-06-10 |
| 1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
| 1871978346 | Kheireddine Daoudi | Specialist/Technologist, Other | 18703 Duke Lake -dr, Spring, TX 77388 | 2015-07-27 |
| 1417336371 | Chitisha Manning-taylor | Specialist/Technologist, Other | 28969 San Bernard River Loop, Spring, TX 77386-4139 | 2015-05-26 |
| 1003200494 | Dustin Crawford | Specialist/Technologist, Other | 20639 Kuykendahl Rd, Suite 200, Spring, TX 77379-3318 | 2015-03-24 |
| 1174951859 | Manuel S Lopez-cardenas | Specialist/Technologist, Other | 330 Rayford Rd Ste 238, Spring, TX 77386-1980 | 2013-10-16 |
| 1184997058 | Susan Herndon | Specialist/Technologist, Other | 21402 Meadowhill Dr, Spring, TX 77388-3345 | 2012-02-22 |
| 1629351267 | Oziel Garza Jr | Specialist/Technologist, Other | 2510 Floral Ridge Dr, Spring, TX 77388-5377 | 2011-09-20 |
| Find all providers in SPRING | ||||
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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.