Surgical Alliance Incorporated

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

605077 Issued in TX

Legal business name

SURGICAL ALLIANCE INCORPORATED

Practice address

1052 Summerplace LN
Southlake, TX 76092-5120

Phone

(817) 379-5600

Fax

(972) 986-5304

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Lynn Northcutt

Title

President

Phone

(817) 379-5600

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Legend Surgical Network

  • Registered Nurse First Assistant
  • Southlake, TX
  • NPI 1730608845
  NPPES parent name

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1407068927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921150",
            "telephone_number": "817-379-5600",
            "fax_number": "972-986-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 SUMMERPLACE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925120",
            "telephone_number": "817-379-5600",
            "fax_number": "972-986-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ALLIANCE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-379-5600"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "605077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunflower Autism and Psychiatric Associates
• Sailendra R Sunkara, M.D., M.B.A.
• Alyza Sarah Sunny, FNP-C
• Joel Micah Supple, CSFA, CST
• Surgical Alliance II LLC
• Surgical and Endoscopy Center of Southlake, LLC
• Surgicore LLC
• Fiona Sutter
• Matthew Sutton
• Svit Aesthetics LLC

• Registered Nurse First Assistant in Southlake, TX
• Providers in Southlake, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.