Innovative Surgical Affiliate

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

11-100 Issued in TX

Legal business name

INNOVATIVE SURGICAL AFFILIATE

Practice address

3810 Law # 234
Houston, TX 77005-1171

Phone

(832) 390-1082

Fax

(832) 610-3690

NPI assigned

Feb 7, 2013

Organization subpart

No

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

Authorized official

Name

Elin Allen Yu

Title

Sa-C/ Surgical Assistant

Phone

(832) 390-1082

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1376882506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 LAW # 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051171",
            "telephone_number": "832-390-1082",
            "fax_number": "832-610-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 LAW # 234",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051171",
            "telephone_number": "832-390-1082",
            "fax_number": "832-610-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SURGICAL AFFILIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "ELIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "SA-C/ SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "832-390-1082"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "11-100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative R P Inc
• Innovative Radiology PA
• Innovative Renal Care - Webster, Inc.
• Innovative Senior Care Home Health of Houston LLC
• Innovative Spine Center, PLLC
• Innovative Wellness Medical Clinic of Texas LLC
• Innovee Medical Therapy LLC
• Innovision Home Health Care Inc.
• Innovista Provider Group Texas PA
• Innovista Provider Group Texas PA

• Surgical Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Assistant in Texas

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