Surgical Specialists of Conroe, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SURGICAL SPECIALISTS OF CONROE, PLLC

Practice address

500 Medical Center Blvd
Suite 218
Conroe, TX 77304-2889

Phone

(936) 756-2229

Fax

(844) 274-2115

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Nicholas Wadlington

Title

Group Vice President

Phone

(615) 372-7332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Brenda Canter, FNP-BC

  • Family Nurse Practitioner
  • Spring, TX
  • NPI 1811543986
  Medicare reassignment Care Compare group NPD
• Dalton David Heath, M.D.

  • Orthopaedic Surgery Physician
  • Huntsville, TX
  • NPI 1023071859
  Medicare reassignment Care Compare group NPD
• Jesse Scott Ward, M.D.

  • Orthopaedic Surgery Physician
  • Huntsville, TX
  • NPI 1477516292
  Medicare reassignment Care Compare group NPD
• Ronald Matthew Kmiecik, PAC

  • Physician Assistant
  • Fremont, NE
  • NPI 1609145564

  TX

  Medicare reassignment Care Compare group
• Maxim Danilevich, M.D.

  • Orthopaedic Trauma Physician
  • Conroe, TX
  • NPI 1497138804

  Orthopaedic Surgery

  Medicare reassignment NPD

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1689062135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL CENTER BLVD",
            "address_2": "SUITE 218",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042889",
            "telephone_number": "936-756-2229",
            "fax_number": "844-274-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALISTS OF CONROE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "WADLINGTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "GROUP VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-7332"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jianhong NA Sun, ADN
• Jessica Sung Ku, MD
• Shang John Sung, M.D.
• Surgeons Assistant Rita Yamel David Inc
• Surgeons Assitant Rita Yamel David
• Rafael Sustaita
• Ciara Kechelle Swapsy
• Jessica Swinea, BCBA
• Michelle Patino Sykimte, OTR
• Karri L Sykora, FNP C

• Orthopaedic Surgery Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.