Elite Surgical Assisting of South Texas

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ELITE SURGICAL ASSISTING OF SOUTH TEXAS

Practice address

10914 Stagwood Pass
San Antonio, TX 78254-5344

Phone

(210) 273-0045

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jason Donald Martinez, CSFA

Title

Certified Surgical First Assistant/

Phone

(210) 273-0045

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1154854586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 STAGWOOD PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545344",
            "telephone_number": "210-273-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 STAGWOOD PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545344",
            "telephone_number": "210-273-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL ASSISTING OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT/",
        "authorized_official_telephone_number": "210-273-0045",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "143032",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in San Antonio, TX
• Providers in San Antonio, 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 Apr 4, 2017; 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.