J-Philip Nesic, L.S.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00312 Issued in TX

Practice address

12423 Santiago Cove LN
Houston, TX 77041-6040

Phone

(713) 896-8040

Fax

(713) 896-8040

NPI assigned

Apr 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. J-Philip Nesic Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• World Surgical Services, Inc

  • Surgical Technologist
  • Houston, TX
  • NPI 1841410446
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1104046895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12423 SANTIAGO COVE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770416040",
            "telephone_number": "713-896-8040",
            "fax_number": "713-896-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12423 SANTIAGO COVE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770416040",
            "telephone_number": "713-896-8040",
            "fax_number": "713-896-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESIC",
        "first_name": "J-PHILIP",
        "name_prefix": "Dr.",
        "credential": "L.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J-PHILIP",
            "last_name": "NESIC",
            "prefix": "DR.",
            "credential": "L.S.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ney Neshan
• Neshat Yazdi DDS PA
• Parinaz Neshati, MD
• Lior Nesher, M.D.
• Roli Cynthia Nesiama
• Danielle Neskora
• Margaret Watson Nesmith, FNP
• Eric Andrew Nesrsta, M.D.
• Tara Ness
• Nest Dental PLLC

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.