Organization Active NPI

Surgassist Pro LLC

  • Anesthesiology Physician
  • Plano, TX
National Provider Identifier
1538504097
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SURGASSIST PRO LLC
Practice address
5880 Ashmill Dr Ste 200
Plano, TX 75024-0031
Phone
(972) 378-3870
Fax
(972) 378-7977
NPI assigned
May 9, 2013
Last updated
Oct 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Mrs. Raquel Chacon
Title
Practice Manager
Phone
(972) 378-3870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

5880 Ashmill Dr Ste 200
Plano, TX 75024-0031

Mailing address

5880 Ashmill Dr Ste 200
Plano, TX 75024-0031
Phone (972) 378-3870

National Provider Directory

National Provider Directory

Locations

5880 Ashmill Dr
Ste 200
Plano, TX 75024
Phone (972) 378-3870

6105 Windcom Ct
Ste 150
Plano, TX 75093
Phone (972) 378-3870

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1538504097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-378-3870",
            "fax_number": "972-378-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 ASHMILL DR STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240031",
            "telephone_number": "972-378-3870",
            "fax_number": "972-378-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGASSIST PRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-378-3870",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.