Un Suk Gilbert, LSA, CST/FA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

CERTIFICATE# 00F652 Issued in TX

Practice address

5500 39TH Street
Groves, TX 77619-2905

Phone

(409) 963-5265

Fax

(409) 963-1531

NPI assigned

Aug 21, 2007

Last updated

Jan 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1174716450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 INDIAN FALL DRIVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "telephone_number": "409-293-1712",
            "fax_number": "409-963-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 39TH STREET",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776192905",
            "telephone_number": "409-963-5265",
            "fax_number": "409-963-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "UN",
        "middle_name": "SUK",
        "name_prefix": "Mrs.",
        "credential": "LSA, CST/FA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "CERTIFICATE# 00F652",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "SA00174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0053LF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedom ER Physicians PLLC
• John W Freeman, CRNA
• Jathen David Garrett, D.D.S.
• George K Katei, M.D., P.a. (Tri-County Medical Clinic)
• George K. Katei M.D., P.a.
• Groves ER Physicians Group P a
• Samantha Rae Hammons
• Phillip Harwell, D.O.
• Gregory L Hollier, DC
• Donnis Terrence Hunter Jr., CST,SA-C

• Surgical Assistant in Groves, TX
• Providers in Groves, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.