Organization Active NPI

Altitude Surgical Associates, LLC

  • Surgical Physician Assistant
  • McKinney, TX
National Provider Identifier
1760948640
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ALTITUDE SURGICAL ASSOCIATES, LLC
Practice address
550 N Central Expy Unit 2486
McKinney, TX 75070-0134
Phone
(720) 443-6110
NPI assigned
Feb 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Authorized official

Name
Doreen Shinn
Title
Billing
Phone
(609) 380-3305

Specialties & licenses 1

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

Addresses

Primary practice location

550 N Central Expy Unit 2486
McKinney, TX 75070-0134

Mailing address

550 N Central Expy Unit 2486
McKinney, TX 75070-0134
Phone (720) 443-6110

National Provider Directory

National Provider Directory

Locations

550 N Central Expy
Unit 2486
McKinney, TX 75070
Phone (720) 443-6110

NPI Registry JSON

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1760948640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 2486",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700134",
            "telephone_number": "720-443-6110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N CENTRAL EXPY UNIT 2486",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750700134",
            "telephone_number": "720-443-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTITUDE SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "609-380-3305"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.