Organization Active NPI

Surgical Specialty Associates

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1659601805
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA0110 Issued in TX
Legal business name
SURGICAL SPECIALTY ASSOCIATES
Doing business as
surgical specialty associates
Practice address
17534 Sandy Cliffs Dr
Houston, TX 77090-2064
Phone
(281) 798-6695
NPI assigned
Jan 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Mr. Angelo Corbin, LSANPI 1528039583
Title
Surgical Assistant
Phone
(281) 798-6695

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA0110 TX Primary

Addresses

Primary practice location

17534 Sandy Cliffs Dr
Houston, TX 77090-2064

Mailing address

17534 Sandy Cliffs Dr
Houston, TX 77090-2064
Phone (281) 798-6695

Other names 1

  • surgical specialty associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1659601805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17534 SANDY CLIFFS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902064",
            "telephone_number": "281-798-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17534 SANDY CLIFFS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902064",
            "telephone_number": "281-798-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "281-798-6695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA0110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "surgical specialty associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 14, 2014; 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.