Surgical Alliance II LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

605077 Issued in TX

Legal business name

SURGICAL ALLIANCE II LLC

Practice address

1052 Summerplace LN
Southlake, TX 76092-5120

Phone

(817) 379-5600

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Northcutt

Title

Managing Member

Phone

(817) 379-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1679962088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 SUMMERPLACE LN",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925120",
            "telephone_number": "817-379-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ALLIANCE II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-379-5600"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "605077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyza Sarah Sunny, FNP-C
• Joel Micah Supple, CSFA, CST
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• Fiona Sutter
• Matthew Sutton

• Registered Nurse First Assistant in Southlake, TX
• Providers in Southlake, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; 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.