Active NPI
Periop Surgical Alliance Southwest LLC
- Surgery Physician
- The Woodlands, TX
National Provider Identifier
1538609367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- PERIOP SURGICAL ALLIANCE SOUTHWEST LLC
- Practice address
- 17200 St Lukes Way
The Woodlands, TX 77384-8007 - Phone
- (936) 760-6591
- Fax
- (936) 582-6013
- NPI assigned
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Elias Yarrito Jr., LSA
- Title
- Ceo
- Phone
- (936) 760-6591
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Surgical Assistant | 246ZC0007X | SA00395 | TX |
Addresses
Primary practice location
17200 St Lukes Way
The Woodlands, TX 77384-8007
Mailing address
2300 Woodforest Pkwy N Ste 250-162
Montgomery, TX 77316-6501
Phone (936) 760-6591
Other names 1
- Periop Surgical Alliance Southwest LLC
National Provider Directory
National Provider DirectoryLocations
2300 Woodforest Pkwy N
Ste 250162
Montgomery, TX 77316
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Assistant
- Sugar Land, TX
- NPI 1841444940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1538609367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WOODFOREST PKWY N STE 250-162",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773166501",
"telephone_number": "936-760-6591",
"fax_number": "936-582-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17200 ST LUKES WAY",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848007",
"telephone_number": "936-760-6591",
"fax_number": "936-582-6013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIOP SURGICAL ALLIANCE SOUTHWEST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "YARRITO",
"authorized_official_first_name": "ELIAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "936-760-6591",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "LSA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00395",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Periop Surgical Alliance Southwest LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Periop Surgical Alliance Southwest LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.