Organization Active NPI

Prima Surgical Assistants, LLC

  • Registered Nurse First Assistant
  • Sugar Land, TX
National Provider Identifier
1104384858
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
Legal business name
PRIMA SURGICAL ASSISTANTS, LLC
Practice address
1415 Leigh Gardens Dr
Sugar Land, TX 77479-1884
Phone
(713) 239-4649
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Ms. Amanda Wood, RN, CSA, LSA, CNORNPI 1558419242
Title
President
Phone
(281) 827-2108

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
Registered Nurse First AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 163WR0006X Primary

Addresses

Primary practice location

1415 Leigh Gardens Dr
Sugar Land, TX 77479-1884

Mailing address

1415 Leigh Gardens Dr
Sugar Land, TX 77479-1884
Phone (713) 239-4649

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1104384858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LEIGH GARDENS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791884",
            "telephone_number": "713-239-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 LEIGH GARDENS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791884",
            "telephone_number": "713-239-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMA SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-827-2108",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, CSA, LSA, CNOR"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.