Steven Lara, CSFA/CST

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

140453 Issued in TX

Practice address

100 Rusty Run
Boerne, TX 78006-6422

Phone

(210) 833-9204

NPI assigned

Jul 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lara Surgical Assisting LLC

  • Surgical Assistant
  • Boerne, TX
  • NPI 1841622602
  NPD (past) Authorized official

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1265873145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUSTY RUN",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUSTY RUN",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066422",
            "telephone_number": "210-833-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARA",
        "first_name": "STEVEN",
        "credential": "CSFA/CST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "140453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dershie Bridgford Kurtz, PT
• Lisa Kveton-Bohnert, LMT
• Jeramie Lamie, HCP
• Lara Surgical Assisting LLC
• Karina Lara, D.P.T.
• Carol Latham
• Michael Laudadio, PT
• Laurence R Bower III MD
• Robin Law, RN
• Adelodun R Lawal, PHARM. D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.