Organization Active NPI

Katy Surgical Assistants, Inc

  • Surgical Physician Assistant
  • Katy, TX
National Provider Identifier
1710231485
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
KATY SURGICAL ASSISTANTS, INC
Practice address
4010 Fulford CT
Katy, TX 77450-5239
Phone
(713) 301-9330
Fax
(281) 398-0451
NPI assigned
Nov 2, 2012
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Bland Edmund Chamberlain III, LSANPI 1891813804
Title
Owner
Phone
(713) 301-9330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

4010 Fulford CT
Katy, TX 77450-5239

Mailing address

4010 Fulford CT
Katy, TX 77450-5239
Phone (713) 301-9330

National Provider Directory

National Provider Directory
Tax ID family
Katy Surgical Assistants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1710231485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FULFORD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505239",
            "telephone_number": "713-301-9330",
            "fax_number": "281-398-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 FULFORD CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505239",
            "telephone_number": "713-301-9330",
            "fax_number": "281-398-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY SURGICAL ASSISTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "BLAND",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-301-9330",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.