William Eugene Nelson, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

204351 Issued in TX

Practice address

3101 Nasa Pkwy Ste F
Seabrook, TX 77586-6475

Phone

(832) 932-5787

Fax

(832) 932-5979

NPI assigned

Jan 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24405/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Surgical Assistants LLC

  • Surgical Assistant
  • Seabrook, TX
  • NPI 1053681023
  NPD (past)

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1467166157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 NASA PKWY STE F",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775866475",
            "telephone_number": "832-932-5787",
            "fax_number": "832-932-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NASA PKWY STE F",
            "city": "SEABROOK",
            "state": "TX",
            "postal_code": "775866475",
            "telephone_number": "832-932-5787",
            "fax_number": "832-932-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "WILLIAM",
        "middle_name": "EUGENE",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "204351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA",
            "identifier": "204351",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Seabrook",
            "affiliation": "Y",
            "endpointDescription": "Office",
            "affiliationName": "Advanced Surgical Assistants LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3101 Nasa Pkwy Ste F",
            "city": "Seabrook",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775866475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugenia Morefield
• Veronique Morin, M.D.
• Marina Murillo
• John James Mustachia III
• Blanca Diez Nahmias, M.D.
• Theresa Nguyen, PHARMD
• Orthopaedic Movement Specialists of America PLLC
• Vanessa Lynn Paelicke, L.C.S.W.
• Susan Young Park, FNP-C
• Virendra Jashbhai Patel, RPH

• All providers in Seabrook, TX
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.