Shakespeare Acevedo Perez, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00941 Issued in TX

Practice address

4120 Southwest Fwy Ste 230
Houston, TX 77027-7327

Phone

(281) 254-8206

NPI assigned

May 2, 2024

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1013764661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 CHASECREEK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774891874",
            "telephone_number": "346-901-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 SOUTHWEST FWY STE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277327",
            "telephone_number": "281-254-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO PEREZ",
        "first_name": "SHAKESPEARE",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00941",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "21-379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acepoint Health PLLC
• Michell Stephanie Acero-Cunningham
• Glenna Acero, PT
• Tainysha Acevedo Calderon, BCBA
• Luisa M. Acevedo Lohner, M.D.
• Itxia L Acevedo-Santiago, PA
• Cristina Garcia Acevedo, PA
• Dominique N Acevedo, PT
• Edwin Acevedo Jr., MD, MHA
• Erika Jaime Acevedo, OTR

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.