Surgical PA LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGICAL PA LLC

Practice address

5880 Ashmill Dr Ste 200
Plano, TX 75024-0031

Phone

(972) 439-7189

Fax

(972) 378-7977

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Raquel Angobaldo

Title

Manager

Phone

(972) 378-3870

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1245870393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-439-7189",
            "fax_number": "972-378-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-439-7189",
            "fax_number": "972-378-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "ANGOBALDO",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-378-3870"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgcenter of Plano LLC
• Surgery Center 121 LLC
• Surgery Center of Texas LP
• Surgical Anesthesia Consultants, PLLC
• Surgical Associates of Collin County, PLLC
• Surgical Specialists of Plano PA
• Surgical Specialty Physicians, PA
• Mary Helen Surkein, D.C.
• Survivor Gals Specialty Products and Salon LLC
• Susan B Cameron, LPC, PA

• Surgical Physician Assistant in Plano, TX
• Providers in Plano, 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 Jan 7, 2020; 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.