Previty Surgical Consultants, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

N3987 Issued in TX

Legal business name

PREVITY SURGICAL CONSULTANTS, PLLC

Practice address

740 Hospital Dr
Suite 280
Beaumont, TX 77701-4664

Phone

(409) 835-9500

Fax

(409) 835-0098

NPI assigned

Jul 26, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garrett K Peel, M.D.

Title

Chief Surgeon

Phone

(409) 835-9500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1700339744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-835-9500",
            "fax_number": "409-835-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 280",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-835-9500",
            "fax_number": "409-835-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVITY SURGICAL CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF SURGEON",
        "authorized_official_telephone_number": "409-835-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N3987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209346001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Surgical Assistants Group, LLC
• Premium Home Health Care
• Matthew S Preston
• Preventive Medicine of Southeast Texas, LLP
• Previty Surgical Assistants, PLLC
• Previty Surgical, PLLC (Previty - Clinic for Surgical Care)
• Price & Sonn LLC (Providers in Home Care)
• Jeanetta Price
• Jennifer Price, RN
• Jon Matthew Price, ATC

• Surgery Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.