Active NPI
Sylvia Amy Pennie, LSA
- Surgical Physician Assistant
- Sugar Land, TX
National Provider Identifier
1154583888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA00379
- Practice address
- 1 Sugar Creek Blvd
Ste 618
Sugar Land, TX 77478 - Phone
- (832) 655-4141
- Fax
- (713) 457-5188
- NPI assigned
- Jun 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA00379 | TX | Primary |
Addresses
Primary practice location
1 Sugar Creek Blvd
Ste 618
Sugar Land, TX 77478
Mailing address
1 Sugar Creek Center Blvd
Ste 618
Sugar Land, TX 77478-3560
Phone (832) 655-4141
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8RF039 | Other | TX | BLUE STAR SURGICAL ASSISTANTS |
| 8RF181 | Other | TX | US MSO |
| 8RF042 | Other | TX | UNIVERSAL SURGICAL PARTNERS |
| 8RE918 | Other | TX | UNIVERSAL SURGICAL ASSISTANTS |
| 8RF043 | Other | TX | XCITE SURGICAL |
Other names 1
- Ms. Silvia Amy Korenek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00379 | TX | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.a.K. Professionals Inc. | Surgical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Physician Assistant
- Pasadena, TX
- NPI 1992093082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1154583888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK CENTER BLVD",
"address_2": "STE 618",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774783560",
"telephone_number": "832-655-4141",
"fax_number": "713-457-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SUGAR CREEK BLVD",
"address_2": "STE 618",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77478",
"telephone_number": "832-655-4141",
"fax_number": "713-457-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNIE",
"first_name": "SYLVIA",
"middle_name": "AMY",
"name_prefix": "Mrs.",
"credential": "LSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-25",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TX",
"license": "SA00379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE STAR SURGICAL ASSISTANTS",
"identifier": "8RF039",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US MSO",
"identifier": "8RF181",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL SURGICAL PARTNERS",
"identifier": "8RF042",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL SURGICAL ASSISTANTS",
"identifier": "8RE918",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "XCITE SURGICAL",
"identifier": "8RF043",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SILVIA",
"last_name": "KORENEK",
"middle_name": "AMY",
"prefix": "MS.",
"credential": "LSA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.