NPIMap

Organization Active NPI

Platinum Surgical Management LLC

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1316131386
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
PLATINUM SURGICAL MANAGEMENT LLC
Practice address
6560 Fannin St
Suite 1610
Houston, TX 77030-2761
Phone
(713) 271-2384
Fax
(281) 833-8950
NPI assigned
Aug 31, 2007
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Mary C. Valentine, LSA
Title
Ceo
Phone
(713) 271-2384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

6560 Fannin St
Suite 1610
Houston, TX 77030-2761

Mailing address

PO Box 3025
Houston, TX 77253-3025
Phone (713) 271-2384

National Provider Directory

National Provider Directory

Locations

6560 Fannin St
Ste 1610
Houston, TX 77030
Phone (713) 271-2384

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1316131386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3025",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533025",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "SUITE 1610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-271-2384",
            "fax_number": "281-833-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-271-2384",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.