Scrubx Surgical First Assisting LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

4195 Issued in TX

Legal business name

SCRUBX SURGICAL FIRST ASSISTING LLC

Doing business as

ScrubX Surgical First Assisting LLC

Practice address

1307 Autumn Moon
San Antonio, TX 78245

Phone

(210) 725-8783

NPI assigned

Feb 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Clyde Kenneth Harvey Jr., CST/ CSANPI 1427484096

Title

Ceo/Surgical First Assist

Phone

(210) 725-8783

Specialties & licenses 1

Addresses

Other names 1

• ScrubX Surgical First Assisting LLC Doing business as

Tax ID family

Scrubx Surgical First Assisting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Scrubx Surgical First Assisting, LLC

  • Surgical Assistant
  • San Antonio, TX
  • NPI 1518388164
  NPD tax ID

Practitioners 1

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

• Clyde Kenneth Harvey Jr., CSA

  • Surgical Assistant
  • San Antonio, TX
  • NPI 1427484096
  NPD Authorized official

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1093254971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 AUTUMN MOON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782451378",
            "telephone_number": "210-725-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 AUTUMN MOON",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78245",
            "telephone_number": "210-725-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRUBX SURGICAL FIRST ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/SURGICAL FIRST ASSIST",
        "authorized_official_telephone_number": "210-725-8783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CST/ CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "4195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ScrubX Surgical First Assisting LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ScrubX Surgical First Assisting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew T. Scraver, D.D.S.
• Arie Scribbick, MD
• Michele Ruth Scribner, MS-CCC-SLP
• Andrea Scripter
• Daniel Scroggins, M.D.
• Scrubx Surgical First Assisting, LLC
• Jennifer L Scruggs
• Charles Elam Scull III, DDS, MS
• Mathilde Rosario Scully
• Paul Richard Scurka, D.C.

• Surgical Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.