Surgical Assistants of Greater Houston

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

604 Issued in TX

Legal business name

SURGICAL ASSISTANTS OF GREATER HOUSTON

Practice address

8104 Ephraim Rd
Austin, TX 78717-5334

Phone

(512) 697-9816

Fax

(512) 828-6486

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Marrero, O.P.A.-C., CSFA-OS

Title

Ceo

Phone

(512) 697-9816

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Surgical Assistants of Greater Houston Doing business as

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1366647448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 EPHRAIM RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175334",
            "telephone_number": "512-697-9816",
            "fax_number": "512-828-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 EPHRAIM RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175334",
            "telephone_number": "512-697-9816",
            "fax_number": "512-828-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF GREATER HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "MARRERO",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-697-9816",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.P.A.-C., CSFA-OS"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "103402",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED SURGICAL FIRST ASSISTANT",
            "identifier": "103402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED FIRST ASSISTANT",
            "identifier": "00F703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOPEDIC SPECIALIST",
            "identifier": "103402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOPEDIC P.A. CERT #",
            "identifier": "604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Assistants of Greater Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Hospital of Austin
• Surgical Hospital of Austin, LP
• Surgical Hospital of Austin, LP
• Surgical Specialists of Austin, PLLC

• Surgical Physician Assistant in Austin, TX
• Providers in Austin, 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 Nov 28, 2012; 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.