Vickie Cline, OPA-C, LSA, SA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

2317 Cobblecreek Dr
Conroe, TX 77384-3703

Phone

(281) 541-8872

Fax

(331) 625-7932

NPI assigned

Oct 27, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SS Surgical Assisting, LLC

  • Surgical Physician Assistant
  • Conroe, TX
  • NPI 1962750901
  NPD (past) Authorized official

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1700876919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 COBBLECREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843703",
            "telephone_number": "281-541-8872",
            "fax_number": "331-625-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 COBBLECREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843703",
            "telephone_number": "281-541-8872",
            "fax_number": "331-625-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "VICKIE",
        "credential": "OPA-C, LSA, SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "LSA: SA00167",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille W. Clemens-Clayton, PH.D.
• Casey Lee Clements, D.D.S.
• Samantha Mary-Kathleen Clemons, FNP-C
• Tracy Clifford, LVN
• Clifton Global Healthcare Solutions LLC
• Clinica Gloria de America III
• Co H Nguyen MD PA
• Nicole Talbott Coale, P.T.A.
• Gerald B Cobb, M.D.
• Tianna Alexandria Cobos, PT, DPT

• Surgical Physician Assistant in Conroe, TX
• Providers in Conroe, 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 Jun 21, 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.