NPIMap

Organization Active NPI

Big Blue Surgical Assisting

  • Surgical Physician Assistant
  • Fulshear, TX
National Provider Identifier
1366817769
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
BIG BLUE SURGICAL ASSISTING
Practice address
28003 Lone Rock CT
Fulshear, TX 77441-1596
Phone
(859) 595-6699
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Amy Burton, CSFANPI 1346615754
Title
Certified Surgical First Assistant
Phone
(859) 595-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

28003 Lone Rock CT
Fulshear, TX 77441-1596

Mailing address

28003 Lone Rock CT
Fulshear, TX 77441-1596

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1366817769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28003 LONE ROCK CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28003 LONE ROCK CT",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411596",
            "telephone_number": "859-595-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BLUE SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "859-595-6699",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.