Active NPI
Golden Triangle First Assisting, PLLC
- Registered Nurse First Assistant
- Bridge City, TX
National Provider Identifier
1053736652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 607118
- Legal business name
- GOLDEN TRIANGLE FIRST ASSISTING, PLLC
- Practice address
- 825 Carolina Dr
Bridge City, TX 77611-2309 - Phone
- (409) 670-6654
- NPI assigned
- Feb 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew W Thayer, BSN,RNFA,ONC,CNOR
- Title
- Owner
- Phone
- (214) 227-2457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 607118 | TX | Primary |
Addresses
Primary practice location
825 Carolina Dr
Bridge City, TX 77611-2309
Mailing address
PO Box 938
Rowlett, TX 75030-0938
Phone (214) 227-2457
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460937600000",
"number": "1053736652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 938",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750300938",
"telephone_number": "214-227-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 CAROLINA DR",
"city": "BRIDGE CITY",
"state": "TX",
"postal_code": "776112309",
"telephone_number": "409-670-6654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN TRIANGLE FIRST ASSISTING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-19",
"last_updated": "2016-04-18",
"status": "A",
"authorized_official_last_name": "THAYER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-227-2457",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "BSN,RNFA,ONC,CNOR"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TX",
"license": "607118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridge City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.