Deanna Kay Peelgren, LSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

SA00857 Issued in TX

Practice address

2915 W Bitters Rd Ste 201
San Antonio, TX 78248-2007

Phone

(254) 290-2113

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Austin Surgical Assistants, P.C.

  • Surgical Assistant
  • Cedar Park, TX
  • NPI 1851567994
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1619442019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 OAK RUN PKWY",
            "address_2": "STE. 505, RM #12",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325379",
            "telephone_number": "210-598-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 W BITTERS RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482007",
            "telephone_number": "254-290-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELGREN",
        "first_name": "DEANNA",
        "middle_name": "KAY",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBSTSA",
            "identifier": "185830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Garcia Pedroza, MA, LPC
• Gregorio Elizondo Pedroza III, MD
• Sonjia Pedroza
• Shawnee Bertha Peebles, CHW
• Lenni Y Peed
• Amy B Peeples, LCSW
• Lane Allen Peery, MD
• Travis Wayne Peery, MD
• Alan L Peet, DDS
• Pegasus Pediatrics PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.