Individual provider Active NPI

Eric J Wassner, LSA

  • Surgical Assistant
  • Helotes, TX
National Provider Identifier
1366770802
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
18827 Canyon View Pass
Helotes, TX 78023-2879
Phone
(210) 391-4324
NPI assigned
Nov 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

18827 Canyon View Pass
Helotes, TX 78023-2879

Mailing address

18827 Canyon View Pass
Helotes, TX 78023-2879
Phone (210) 391-4324

Other identifiers 1

IdentifierTypeStateIssuer
SA00495OtherTXTEXAS STATE LICENSE

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samurai Assisting Inc Single Specialty CurrentSince Jun 28, 2020 Accepting new patients

Organizations & group practices 1

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": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1366770802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18827 CANYON VIEW PASS",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780232879",
            "telephone_number": "210-391-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18827 CANYON VIEW PASS",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780232879",
            "telephone_number": "210-391-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSNER",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-20",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "SA00495",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.