NPIMap

Organization Active NPI

Proficio Surgical Assistants, LLC

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1437557162
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PROFICIO SURGICAL ASSISTANTS, LLC
Practice address
6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808
Phone
(832) 277-0500
NPI assigned
Dec 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Jaime Olmo
Title
Coo
Phone
(832) 277-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6544 Greatwood Pkwy Ste a
Sugar Land, TX 77479-6808

Mailing address

3536 Highway 6 # 150
Sugar Land, TX 77478-4401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230203000545 TX Part B Supplier - Clinic/Group Practice 3476925256 Practice locations: Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

3536 Highway 6
Sugar Land, TX 77478
Phone (832) 277-0500

Practitioners & affiliated clinicians

Practitioners 11

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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1437557162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HIGHWAY 6 # 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6544 GREATWOOD PKWY STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796808",
            "telephone_number": "832-277-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFICIO SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2024-03-11",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "OLMO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "832-277-0500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.