Surgical Advanced Specialty Center LL LTD., L.L.P.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

K2483 Issued in TX

Legal business name

SURGICAL ADVANCED SPECIALTY CENTER LL LTD., L.L.P.

Practice address

455 School St
Suite 10
Tomball, TX 77375-4595

Phone

(281) 351-5409

Fax

(281) 351-2803

NPI assigned

Mar 14, 2008

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Brian Harkins, M.D.NPI 1700908175

Title

General Partner

Phone

(281) 351-5409

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Brian Harkins, M.D.

  • Surgery Physician
  • Tomball, TX
  • NPI 1700908175
  Medicare reassignment Care Compare group NPD Authorized official
• Angela Gita Kaza, M.D.

  • Surgery Physician
  • Houston, TX
  • NPI 1629336474
  Medicare reassignment Care Compare group NPD
• Gabriel Apolonio Arevalo, M.D.

  • Surgery Physician
  • Tomball, TX
  • NPI 1437415494
  Medicare reassignment NPD
• Jantzen Deandre Thorns I, M.D.

  • Surgery Physician
  • Houston, TX
  • NPI 1972881100
  Medicare reassignment NPD

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1609047802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "SUITE 10",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-351-5409",
            "fax_number": "281-351-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST",
            "address_2": "SUITE 10",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754595",
            "telephone_number": "281-351-5409",
            "fax_number": "281-351-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ADVANCED SPECIALTY CENTER LL LTD., L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HARKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "281-351-5409",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "K2483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Super Surgical Association
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• Supporting the Journey Services
• Surgical Excellence Associates PLLC
• Lori Ann Swenson, FNP-C
• Jeremy Sykes, COTA
• Synergenx Health - Cibolo LLC
• Synergenx Health - Hills and Dales LLC

• Surgery Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.