NPIMap

Organization Active NPI

Excellent Surgical Assist Group

  • Surgical Assistant
  • Desoto, TX
National Provider Identifier
1679704167
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
3354 Issued in TX
Legal business name
EXCELLENT SURGICAL ASSIST GROUP
Practice address
924 Whitewater TRL
Desoto, TX 75115-5443
Phone
(972) 345-5074
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Ms. Dorothea Rena Hamilton, CSANPI 1134316813
Title
President
Phone
(972) 345-5074

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 3354 TX Primary

Addresses

Primary practice location

924 Whitewater TRL
Desoto, TX 75115-5443

Mailing address

924 Whitewater TRL
Desoto, TX 75115-5443
Phone (972) 345-5074

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": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1679704167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 WHITEWATER TRL",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155443",
            "telephone_number": "972-345-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 WHITEWATER TRL",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751155443",
            "telephone_number": "972-345-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT SURGICAL ASSIST GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_middle_name": "RENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-345-5074",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.