Surgi Assist PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGI ASSIST PLLC

Practice address

316 Alyse Rd
Roanoke, TX 76262-6158

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Gueorgui T Maltchev, PA-CNPI 1295876969

Title

Owner

Phone

(214) 227-2457

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Gueorgui T Maltchev, PA

  • Surgical Physician Assistant
  • Roanoke, TX
  • NPI 1295876969
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1043925381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 MELCER DR STE 601",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884033",
            "telephone_number": "214-227-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 ALYSE RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626158",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGI ASSIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-03-07",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MALTCHEV",
        "authorized_official_first_name": "GUEORGUI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-227-2457",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Welwood Spencer, M.ED.
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• Meng Sun, DC
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• Radwan Monzer Tassabhji, DMD
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• Tex Cole
• Aminidhan D Thakkar, MD

• Surgical Physician Assistant in Roanoke, TX
• Providers in Roanoke, 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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.