NORBE LUIS BASULTO (NPI# 1861628505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861628505 |
| Entity Type | Individual |
| Full Name | NORBE LUIS BASULTO |
| Credential | LSA |
| Practice Address |
29310 Prairie Rose Ct Katy TX 77494-7384 |
| Practice Telephone | 7865568819 |
| Mailing Telephone | 7865568819 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
SA00474 | TX | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1861628505 | 05 | |
| UHC,BCBS,AETNA,CIGNA,WC | 1861628505 | 01 | |
| TX | UHC,AETNA,BCBS,CIGNA,WC | 1861628505 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 23501 Cinco Ranch Blvd, Katy, TX 774943095 | 7865568819 |
| Street Address |
29310 PRAIRIE ROSE CT |
| City | KATY |
| State | TX |
| Zip Code | 77494-7384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063929305 | Odette Lopez Mercier | Physician Assistant | 29310 Prairie Rose Ct, Katy, TX 77494-7384 | 2018-01-09 |
| 1750898920 | Expert Care Assistant | Physician Assistant | 29310 Prairie Rose Ct, Katy, TX 77494-7384 | 2018-01-09 |
| 1134636632 | Expert Hands Surgery | Physician Assistant | 29310 Prairie Rose Ct, Katy, TX 77494-7384 | 2018-01-05 |
| 1669986303 | Alicia Valdes Gonzalez | Specialist/Technologist, Other | 29310 Prairie Rose Ct, Katy, TX 77494-7384 | 2017-11-16 |
| 1821546847 | Rene Gonzalez | Physician Assistant | 29310 Prairie Rose Ct, Katy, TX 77494-7384 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| 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 |
|---|---|---|---|---|
| 1700405248 | Edward Alexander Porras Dos Santos | Specialist/Technologist, Other | 21540 Provincial Blvd Apt 2128, Katy, TX 77450-7540 | 2020-04-14 |
| 1336777960 | Julio Revilla Godoy | Specialist/Technologist, Other | 1002 Katy Gap Rd Apt 515, Katy, TX 77494-7883 | 2020-03-30 |
| 1326512153 | Lucia Julieta Merino De Barquero | Specialist/Technologist, Other | 5126 Royal Jasmine Pl, Katy, TX 77449-2134 | 2019-01-15 |
| 1255804944 | Jorge Trejo | Specialist/Technologist, Other | 1002 Katy Gap Rd Apt 1422, Katy, TX 77494-7892 | 2019-01-06 |
| 1821575036 | Euro De Jesus Arias Fuenmayor | Specialist/Technologist, Other | 1111 Falcon Park Dr Apt 12103, Katy, TX 77494-5203 | 2018-07-20 |
| 1629560982 | Oman Oquendo | Specialist/Technologist, Other | 26111 Butler Springs Ct, Katy, TX 77494-6520 | 2018-06-02 |
| 1093249302 | Java Assisting Services, Inc. | Specialist/Technologist, Other | 1251 Pin Oak Rd, Suite 131-210, Katy, TX 77494-5659 | 2017-04-13 |
| 1124472915 | Samuel Segundo Jimenez | Specialist/Technologist, Other | 3903 S Mason Rd, Apt #111, Katy, TX 77450-7708 | 2016-04-18 |
| 1114305794 | Russell Assisting | Specialist/Technologist, Other | 2430 Fawnlake Cir, Katy, TX 77493 | 2015-05-14 |
| 1992107569 | First Assistant Specialist of Texas | Specialist/Technologist, Other | 20107 Britannia Dr., Katy, TX 77450 | 2014-09-25 |
| Find all providers in KATY | ||||
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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.