NPIMap

Organization Active NPI

Central Surgical Support, LLC

  • Surgical Physician Assistant
  • Missouri City, TX
National Provider Identifier
1053648543
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
000000000 Issued in TX
Legal business name
CENTRAL SURGICAL SUPPORT, LLC
Practice address
4501 Cartwright Rd
Suite 606
Missouri City, TX 77459-3541
Phone
(281) 969-7137
Fax
(281) 969-8882
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Ms. Amanda Wood, RN
Title
President
Phone
(281) 969-7137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 000000000 TX Primary

Addresses

Primary practice location

4501 Cartwright Rd
Suite 606
Missouri City, TX 77459-3541

Mailing address

PO Box 17054
Sugar Land, TX 77496-7054
Phone (281) 969-7137

National Provider Directory

National Provider Directory

Locations

4501 Cartwright Rd
Ste 606
Missouri City, TX 77459
Phone (281) 969-7137

Practitioners & affiliated clinicians

Practitioners 3

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": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1053648543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17054",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967054",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 CARTWRIGHT RD",
            "address_2": "SUITE 606",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774593541",
            "telephone_number": "281-969-7137",
            "fax_number": "281-969-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SURGICAL SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-969-7137",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

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