Organization Active NPI

Proassist Surgical Associates, LLC

  • Surgical Technologist
  • McKinney, TX
National Provider Identifier
1083788848
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
CERT 82396 Issued in TX
Legal business name
PROASSIST SURGICAL ASSOCIATES, LLC
Practice address
2150 S Central Expy
Ste 130
McKinney, TX 75070-4070
Phone
(972) 363-8200
Fax
(972) 363-8196
NPI assigned
Nov 20, 2006
Last updated
Feb 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Michael W Fuller, PA-CNPI 1336217702
Title
Partner
Phone
(972) 363-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X CERT 82396 TX Primary

Addresses

Primary practice location

2150 S Central Expy
Ste 130
McKinney, TX 75070-4070

Mailing address

2150 S Central Expy
Ste 130
McKinney, TX 75070-4070
Phone (972) 363-8200

Other identifiers 3

IdentifierTypeStateIssuer
613033500OtherTXDOL
412217629OtherTXOLD TAX ID
0062PCOtherTXBCBS

Other names 1

  • ProAssist Billing Solutions Other name

National Provider Directory

National Provider Directory

Locations

377 Jersey Ave
#150
Jersey City, NJ 07302
Phone (201) 878-3200

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

411 N 1st St
Bellaire, TX 77401
Phone (713) 665-1111

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

10400 N Central Expy
Ste 101
Dallas, TX 75231
Phone (972) 884-4400

17950 Preston Rd
Ste 1075
Dallas, TX 75252
Phone (972) 267-5400

7777 Forest Ln
Ste C150
Dallas, TX 75230
Phone (972) 566-6171

2696 W Walnut St
Garland, TX 75042
Phone (972) 276-7116

1650 W College St
#A
Grapevine, TX 76051
Phone (817) 481-1588

1101 N Galloway Ave
Mesquite, TX 75149
Phone (214) 307-4208

6020 W Parker Rd
Ste 100
Plano, TX 75093
Phone (972) 403-2700

6435 S FM 549
Rockwall, TX 75032
Phone (214) 271-4585

1545 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (318) 294-3928

Practitioners & affiliated clinicians

Practitioners 9

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1083788848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY",
            "address_2": "STE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704070",
            "telephone_number": "972-363-8200",
            "fax_number": "972-363-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CENTRAL EXPY",
            "address_2": "STE 130",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704070",
            "telephone_number": "972-363-8200",
            "fax_number": "972-363-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROASSIST SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "972-363-8200",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "CERT 82396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "613033500",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD TAX ID",
            "identifier": "412217629",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0062PC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProAssist Billing Solutions",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.