Individual provider Active NPI

Steven Wayne Meiselbach, LSA, CSA

  • Surgical Physician Assistant
  • Pearland, TX
National Provider Identifier
1033259684
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00218 Issued in TX
Practice address
3406 Hickory Creek Dr
Pearland, TX 77581-2453
Phone
(281) 412-7798
Fax
(281) 412-7798
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X SA00218 TX
Surgical Physician Assistant 363AS0400X SA00218 TX Primary

Addresses

Primary practice location

3406 Hickory Creek Dr
Pearland, TX 77581-2453

Mailing address

PO Box 901
Pearland, TX 77588-0901
Phone (281) 412-7798

Other identifiers 1

IdentifierTypeStateIssuer
8N4574OtherBCBS PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SA00218TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meiselbach Csa Services, Inc. Surgical Technologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1033259684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775880901",
            "telephone_number": "281-412-7798",
            "fax_number": "281-412-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 HICKORY CREEK DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775812453",
            "telephone_number": "281-412-7798",
            "fax_number": "281-412-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISELBACH",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "LSA, CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00218",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "8N4574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.