PERIOP SURGICAL ALLIANCE SOUTHWEST LLC (NPI# 1538609367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538609367 |
| Entity Type | Organization |
| Organization Name | PERIOP SURGICAL ALLIANCE SOUTHWEST LLC |
| Other Organization Name | PERIOP SURGICAL ALLIANCE SOUTHWEST LLC |
| Practice Address |
17200 St Lukes Way The Woodlands TX 77384-8007 |
| Mailing Address |
2300 Woodforest Pkwy N Ste 250-162 Montgomery TX 77316-6501 |
| Practice Telephone | 9367606591 |
| Practice Fax Number | 9365826013 |
| Mailing Telephone | 9367606591 |
| Mailing Fax Number | 9365826013 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | MR. ELIAS YARRITO JR. (CEO) |
| Authorized Official Telephone | 9367606591 |
| Authorized Official Credential | LSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00395 | TX | Technologists, Technicians & Other Technical Service Providers |
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Periop Surgical Alliance Southwest LLC | Doing Business As Name - Organization |
| Street Address |
17200 ST LUKES WAY |
| City | THE WOODLANDS |
| State | TX |
| Zip Code | 77384-8007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447690 | Barbara Anne Lines | Pathology | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2005-06-14 |
| 1457960494 | Karnika Hill Campbell | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-07-27 |
| 1760005276 | Davd Clement Varghese | Pharmacy | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-05-19 |
| 1952930299 | Emily S Roller | Registered Nurse | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2020-04-08 |
| 1124660204 | Lorrie Faith Pool | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-10-10 |
| 1619529302 | Abigail Kathryn Marcotte | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-07-12 |
| 1700446838 | Mary Ann Kinart | Dietitian, Registered | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-06-20 |
| 1013471648 | Khairuniza Lao | Nurse Practitioner | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2019-01-28 |
| 1902374341 | Cecilia Rene' Kain | Occupational Therapy Assistant | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2018-11-04 |
| 1447748504 | John Nicholas Hustedt | Emergency Medicine | 17200 St Lukes Way, The Woodlands, TX 77384-8007 | 2018-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104381441 | Reshanda Baudy | Registered Nurse | 2477 F.m. 1488 Rd, 536, Conroe, TX 77384 | 2019-01-31 |
| 1841768447 | Alina Nichole Smith | Physical Therapist | Texas Children's Hospital - The Woodlands, 17580 Interstate 45 South, The Woodlands, TX 77384 | 2018-11-13 |
| 1952878472 | Courtney Nicole Jersey | Physician Assistant | 17600 I-45 South, Conroe, TX 77384 | 2018-11-02 |
| 1558851394 | Woodlands Integrative Care Hospital | Psychiatric Hospital | 1006 Windsor Lake Blvd., Suite 200, Conroe, TX 77384 | 2018-05-17 |
| 1326570334 | Surgeons Assistant Rita Yamel David Inc | Specialist/Technologist, Other | 3720 College Park Dr # 6304, Conroe, TX 77384 | 2017-03-29 |
| 1316483191 | Jason Cazares | Specialist/Technologist | 17450 St. Luke's Way, Medical Arts Center IIi, #350, The Woodlands, TX 77384 | 2017-01-17 |
| 1023564325 | 1488 Family Medicine Group, Pllc | Clinic/Center | 2400 Fm 1488, Suite 400, Conroe, TX 77384 | 2016-08-28 |
| 1740641976 | Signature Smiles Woodlands, Pllc | Clinic/Center | 2400 Fm 1488 Suite 200, Conroe, TX 77384 | 2016-03-16 |
| 1427397256 | David William White | Dentist | 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 | 2013-02-14 |
| 1740549542 | North Woods Family Medicine Pllc | Family Medicine | 17350 St.luke's Way, Suite 350, The Woodlands, TX 77384 | 2012-05-14 |
| Find all providers in zip 77384 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427043967 | Mark Menefee Mettauer | Surgery | 17450 St Lukes Way Ste 290, The Woodlands, TX 77384-8045 | 2005-09-12 |
| 1003277195 | Mark Ciaglia, Do PC | Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384-2001 | 2016-03-16 |
| 1376908590 | Premier Surgeons Management, LLC | Surgery | 17450 St Lukes Way Ste 290, The Woodlands, TX 77384-8045 | 2015-12-15 |
| 1225419716 | Woodlands Way Medical Center | Surgery | 17350 St Lukes Way, 370, The Woodlands, TX 77384-4100 | 2015-06-10 |
| 1285027326 | Lone Star Vein Centers, P.a. | Surgery | 9303 Pinecroft Dr, Suite 350, The Woodlands, TX 77380-3181 | 2015-03-13 |
| 1922381839 | Preston James Chandler IIi | Surgery | 1595 Lake Front Cir, The Woodlands, TX 77380-3604 | 2011-09-27 |
| 1174826820 | James A Field Md Pa | Surgery | 9200 Pinecroft Drive, Suite 250, The Woodlands, TX 77380-3286 | 2010-12-17 |
| 1518286053 | Woodlands Surgical Associates Pllc | Surgery | 9200 Pinecroft Dr, Suite 250, The Woodlands, TX 77380 | 2010-05-24 |
| 1518196930 | Imran Fayaz, M.d., P.a. | Surgery | 1111 Medical Plaza Dr, Suite 200, The Woodlands, TX 77380-3476 | 2009-07-07 |
| 1659533974 | Surgical Group of The Woodlands | Surgery | 9200 Pinecroft Dr, Suite 250, The Woodlands, TX 77380-3286 | 2008-06-27 |
| Find all providers in THE WOODLANDS | ||||
| City | THE WOODLANDS |
| Zip Code | 77384 |
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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.