NPIMap

Individual provider Active NPI

Pamela A Ahmed, PA C

  • Surgical Physician Assistant
  • Dallas, TX
National Provider Identifier
1366488546
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA01673 Issued in TX
Practice address
2925 LBJ Frwy
#100
Dallas, TX 75234
Phone
(972) 280-0080
Fax
(972) 280-0081
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA01673 TX Primary

Addresses

Primary practice location

2925 LBJ Frwy
#100
Dallas, TX 75234

Mailing address

3901 Treemont Cir
Colleyville, TX 76034-8718
Phone (407) 302-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gator PA 1St Assist, LLC Surgical Current Accepting new patients
PA-C 1St Assist Services PLLC Surgical Current Accepting new patients
Robotic and Surgical Assistants Surgical CurrentSince Dec 23, 2012 Accepting new patients
Peloza Surgical Services, PLLC Past Accepting new patients
John H Peloza MD PA Past Accepting new patients
Surgical Assisting Services, PLLC Surgical Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1366488546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 TREEMONT CIR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348718",
            "telephone_number": "407-302-0089",
            "fax_number": "817-934-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LBJ FRWY",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "972-280-0080",
            "fax_number": "972-280-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.