Active NPI
Lone Star Surgical Assisting LLC
- Surgical Physician Assistant
- Waco, TX
National Provider Identifier
1417664103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- LONE STAR SURGICAL ASSISTING LLC
- Practice address
- 10113 Barton Creek Dr
Waco, TX 76708-5877 - Phone
- (903) 944-4646
- NPI assigned
- Nov 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Cameron Jackson, CSFA
- Title
- Owner
- Phone
- (903) 944-4646
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
10113 Barton Creek Dr
Waco, TX 76708-5877
Mailing address
430 W State Highway 6 PO Box 20661
Waco, TX 76702-5877
Phone (903) 944-4646
Other practice location 1
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000
National Provider Directory
National Provider DirectoryLocations
430 W State Highway 6
Unit 20661
Waco, TX 76702
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672876800000",
"number": "1417664103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W STATE HIGHWAY 6 PO BOX 20661",
"city": "WACO",
"state": "TX",
"postal_code": "767025877",
"telephone_number": "903-944-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10113 BARTON CREEK DR",
"city": "WACO",
"state": "TX",
"postal_code": "767085877",
"telephone_number": "903-944-4646"
}
],
"practiceLocations": [
{
"address_1": "6901 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767127910",
"country_code": "US",
"telephone_number": "254-751-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LONE STAR SURGICAL ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-01",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "CAMERON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-944-4646",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.