Organization Active NPI

SGS Surgical Assistants, LLC

  • Surgical Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1083998843
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SGS SURGICAL ASSISTANTS, LLC
Practice address
3720 College Park Dr Apt 10203
The Woodlands, TX 77384-4854
Phone
(281) 748-5042
NPI assigned
Sep 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Kevin Steele, SA-C
Title
Owner/Ceo
Phone
(936) 647-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

3720 College Park Dr Apt 10203
The Woodlands, TX 77384-4854

Mailing address

3720 College Park Dr Apt 10203
The Woodlands, TX 77384-4854

Other identifiers 1

IdentifierTypeStateIssuer
SA-C 11-168OtherAMERICAN BOARD OF SURGICAL ASSISTANTS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1083998843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 COLLEGE PARK DR APT 10203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 COLLEGE PARK DR APT 10203",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773844854",
            "telephone_number": "281-748-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGS SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "936-647-5119",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF SURGICAL ASSISTANTS",
            "identifier": "SA-C 11-168",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.