Organization Active NPI

Millennium Surgical Associates Staffing, LLC

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1588095111
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA00475 Issued in TX
Legal business name
MILLENNIUM SURGICAL ASSOCIATES STAFFING, LLC
Practice address
2437 Bay Area Blvd
Houston, TX 77058-1519
Phone
(832) 891-9989
Fax
(866) 576-4221
NPI assigned
Dec 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Ms. Theresa Marie Heslop, LSA, CSA
Title
Administrator
Phone
(832) 891-9989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X SA00475 TX Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X TX

Addresses

Primary practice location

2437 Bay Area Blvd
Houston, TX 77058-1519

Mailing address

2437 Bay Area Blvd
Houston, TX 77058-1519
Phone (832) 891-9989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1588095111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581519",
            "telephone_number": "832-891-9989",
            "fax_number": "866-576-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 BAY AREA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770581519",
            "telephone_number": "832-891-9989",
            "fax_number": "866-576-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM SURGICAL ASSOCIATES STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-08",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "HESLOP",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-891-9989",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSA, CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00475",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.