Surgical First Assist Specialist of South Texas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SURGICAL FIRST ASSIST SPECIALIST OF SOUTH TEXAS

Practice address

2827 Babcock Rd
San Antonio, TX 78229-4813

Phone

(972) 489-8535

NPI assigned

Oct 26, 2019

Organization subpart

No

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

Authorized official

Name

Jessica McBain

Title

Credentialing Specialist

Phone

(972) 489-8535

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1572048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572048000000",
    "number": "1518500115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 E STATE HIGHWAY 114",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925250",
            "telephone_number": "972-489-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294813",
            "telephone_number": "972-489-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL FIRST ASSIST SPECIALIST OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-26",
        "last_updated": "2019-10-26",
        "status": "A",
        "authorized_official_last_name": "MCBAIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-489-8535"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwoods@exmbilling.com",
            "affiliation": "N",
            "address_1": "24165 IH West",
            "address_2": "Suite 217-609",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "78257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Surgcenter of Westover Hills LLC
• Surgeons Sidekick LLC
• Surgery Center - Shavano Park (Premier Surgical Center at Shavano)
• Surgi-Consultants of San Antonio (Surgical Consultants of San Antonio)
• Surgical Consultants of San Antonio
• Surgical First Assistant Services
• Surgical Practices of South Texas, PLLC
• Surgitech Surgical Assisting Services
• Lakshmi Anandini Suri, MD
• Rajeev Suri, MD

• Physician Assistant in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2019; 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.