Progressive Surgical Assist LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PROGRESSIVE SURGICAL ASSIST LLC

Practice address

12335 Kingsride LN
#279
Houston, TX 77024-4116

Phone

(832) 566-6658

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Carl Palumbo

Title

President

Phone

(832) 566-6658

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1306268982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN",
            "address_2": "#279",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "832-566-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 KINGSRIDE LN",
            "address_2": "#279",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244116",
            "telephone_number": "832-566-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SURGICAL ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-566-6658",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Pharma LLC
• Progressive Physical Therapy
• Progressive Pulmonary Services
• Progressive Reach
• Progressive Senior Services, LLC
• Prohealth Equipment LLC
• Prohealth Equipment LLC
• Prohealth Medical Group Management
• Project Affiliate
• Project Healthy Neighbors

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, 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 15, 2014; 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.