Skilled Surgical Services LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00331 Issued in TX

Legal business name

SKILLED SURGICAL SERVICES LLC

Practice address

17514 Stonebrook Run CT
Tomball, TX 77375-0065

Phone

(281) 653-2924

Fax

(832) 478-9266

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Oscar Carrion, LSA

Title

Owner

Phone

(281) 653-2924

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1316472939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2071",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773772071",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17514 STONEBROOK RUN CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773750065",
            "telephone_number": "281-653-2924",
            "fax_number": "832-478-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "CARRION",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-653-2924",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SURGICAL ASSISTANT",
            "identifier": "SA00331",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Poonam Singh, M.D.
• Sangeeta Sinha, SA-C
• Jordan E Siragusa, RD, LD
• Siruius PA (Tejas Pathology Associates)
• Siruius PA (Tejas Pathology Associates)
• Jennifer Slane, LPC
• Kaitlynn Smallwood
• Claire Fassett Smith
• Darby Smith
• Jeffrey Kevin Smith, MD

• Surgical Physician Assistant in Tomball, TX
• Providers in Tomball, 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 Apr 21, 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.