NPIMap

Organization Active NPI

J.R. Surgical Assistant Group Inc.

  • Surgical Physician Assistant
  • Pearland, TX
National Provider Identifier
1750640702
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00427 Issued in TX
Legal business name
J.R. SURGICAL ASSISTANT GROUP INC.
Practice address
3022 Norwich St
Pearland, TX 77584-2322
Phone
(281) 830-4845
Fax
(713) 436-1295
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2012

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

Authorized official

Name
Warren Lee Keys Jr., LSA, CSA, OPAC
Title
Ceo
Phone
(281) 830-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA00427 TX Primary

Addresses

Primary practice location

3022 Norwich St
Pearland, TX 77584-2322

Mailing address

3022 Norwich St
Pearland, TX 77584-2322
Phone (281) 830-4845

National Provider Directory

National Provider Directory
Tax ID family
Jr Surgical Assistant Group 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.

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1750640702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 NORWICH ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842322",
            "telephone_number": "281-830-4845",
            "fax_number": "713-436-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 NORWICH ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775842322",
            "telephone_number": "281-830-4845",
            "fax_number": "713-436-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.R. SURGICAL ASSISTANT GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-830-4845",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LSA, CSA, OPAC"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.