Gator PA 1St Assist, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA01673 Issued in TX

Legal business name

GATOR PA 1ST ASSIST, LLC

Practice address

10900 Stonelake Blvd Ste a-320
Austin, TX 78759-5833

Phone

(866) 698-0052

NPI assigned

Dec 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Ann Ahmed, PA-CNPI 1366488546

Title

Owner

Phone

(972) 814-6341

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela A Ahmed, PA C

  • Surgical Physician Assistant
  • Dallas, TX
  • NPI 1366488546
  NPD Authorized official

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1508102559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 STONELAKE BLVD STE A-320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595833",
            "telephone_number": "866-698-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 STONELAKE BLVD STE A-320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595833",
            "telephone_number": "866-698-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATOR PA 1ST ASSIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-814-6341",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA01673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erma Gatica, PMHNP-BC
• Lily Gatica, LMFT
• Rosa Gatica
• Payton Gatlin, RBT
• Juliet Makena Gatobu, APRN
• Barclay Burdette Gatten
• Cathy E. Gattuso, LCSW, BCD, P.C.
• Aline Gaubert, L.P.C., L.C.D.C.
• Cindy Gaucin
• Ellen Gaudet Urrutia, DO

• Surgical Physician Assistant in Austin, TX
• Providers in Austin, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.