Jorge Alfonso Correa, LSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00168 Issued in TX

Practice address

8022 Oxbow Manor LN
Cypress, TX 77433-0162

Phone

(713) 614-4465

Fax

(832) 674-7284

NPI assigned

Mar 26, 2007

Last updated

Nov 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Correa Surgical Assistants, LLC

  • Surgical Physician Assistant
  • Cypress, TX
  • NPI 1255874178
  NPD Authorized official
• Jac Surgical Assistants LLC

  • Surgical Physician Assistant
  • Houston, TX
  • NPI 1518360106
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480032000000",
    "number": "1710005392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 OXBOW MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330162",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8022 OXBOW MANOR LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774330162",
            "telephone_number": "713-614-4465",
            "fax_number": "832-674-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JORGE",
        "middle_name": "ALFONSO",
        "credential": "LSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yureli Coronado
• Elizabeth Corpus, SLP
• Correa Surgical Assistants, LLC
• Christopher David Correa, DPM
• Joey Correa
• Jorge Andres Correa, PTA
• Celix Cortez
• Lupe Maribel Cortez
• Roland Cortez, MD
• Cory W Bailey DDS PC

• Surgical Physician Assistant in Cypress, TX
• Providers in Cypress, 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 Nov 25, 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.