Spinal Intraoperative Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04515 Issued in TX

Legal business name

SPINAL INTRAOPERATIVE ASSISTANTS LLC

Practice address

1 Sugar Creek Center Blvd
Ste. 475a
Sugar Land, TX 77478-3560

Phone

(713) 850-1190

Fax

(713) 850-1327

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Shida Jaberansari

Title

President

Phone

(713) 850-1190

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1700157666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD",
            "address_2": "STE. 475A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783560",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD",
            "address_2": "STE. 475A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783560",
            "telephone_number": "713-850-1190",
            "fax_number": "713-850-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL INTRAOPERATIVE ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "JABERANSARI",
        "authorized_official_first_name": "SHIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-850-1190"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.