NPIMap

Organization Active NPI

Rushmore Surgical Assistants LLC

  • Surgical Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1013348366
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
RUSHMORE SURGICAL ASSISTANTS LLC
Practice address
17400 St Lukes Way
The Woodlands, TX 77384-8036
Phone
(936) 760-6591
Fax
(936) 582-6013
NPI assigned
Dec 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Authorized official

Name
Mr. Elias Yarrito Jr., L.S.A.
Title
Ceo
Phone
(936) 760-6591

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X SA00395 TX
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X 3341 TX
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X 548445 TX
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

17400 St Lukes Way
The Woodlands, TX 77384-8036

Mailing address

PO Box 18
Montgomery, TX 77356-0018
Phone (936) 760-6591

National Provider Directory

National Provider Directory
Tax ID family
Rushmore Surgical Assistants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1013348366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773560018",
            "telephone_number": "936-760-6591",
            "fax_number": "936-582-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848036",
            "telephone_number": "936-760-6591",
            "fax_number": "936-582-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHMORE SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "YARRITO",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-760-6591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.S.A."
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00395",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "3341",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "548445",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.