NPIMap

Organization Active NPI

Angelina Surgical Assistants LLC

  • Surgical Assistant
  • Lufkin, TX
National Provider Identifier
1013357250
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
130937 Issued in TX
Legal business name
ANGELINA SURGICAL ASSISTANTS LLC
Practice address
2900 Atkinson Dr
Lufkin, TX 75901-1524
Phone
(936) 526-1315
Fax
(936) 634-8515
NPI assigned
Jul 2, 2013
Last updated
Nov 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Drefus Earl Thompson Jr., CSFA, R.N.NPI 1336418490
Title
Owner
Phone
(936) 526-1315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163W00000X 856051 TX
Surgical AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZC0007X 130937 TX Primary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

2900 Atkinson Dr
Lufkin, TX 75901-1524

Mailing address

PO Box 155854
Lufkin, TX 75915-5854
Phone (936) 526-1315

National Provider Directory

National Provider Directory

Locations

2900 Atkinson Dr
Lufkin, TX 75901
Phone (936) 526-1315

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1013357250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155854",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759155854",
            "telephone_number": "936-526-1315",
            "fax_number": "936-634-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ATKINSON DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759011524",
            "telephone_number": "936-526-1315",
            "fax_number": "936-634-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DREFUS",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-526-1315",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CSFA, R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "856051",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "130937",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.