NPIMap

Organization Active NPI

Qualified Surgical Services PLLC

  • Surgery Physician
  • Sugar Land, TX
National Provider Identifier
1013342484
Registry record updated Oct 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QUALIFIED SURGICAL SERVICES PLLC
Practice address
1400 Creek Way Dr
Suite 201a
Sugar Land, TX 77478-4072
Phone
(973) 894-1263
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Careen E Wilson
Title
Manager
Phone
(973) 894-1263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X TX Primary

Addresses

Primary practice location

1400 Creek Way Dr
Suite 201a
Sugar Land, TX 77478-4072

Mailing address

695 US Highway 46
Suite 400a
Fairfield, NJ 07004-1592
Phone (973) 826-8080

Other names 1

  • QSS TEXAS Doing business as

National Provider Directory

National Provider Directory

Locations

909 SE 5th Ave
Ste 201
Delray Beach, FL 33483

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1013342484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "SUITE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041592",
            "telephone_number": "973-826-8080",
            "fax_number": "866-309-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CREEK WAY DR",
            "address_2": "SUITE 201A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784072",
            "telephone_number": "973-894-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALIFIED SURGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAREEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-894-1263"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QSS TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.