Parnell Surgical Assisting, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA04153 Issued in TX

Legal business name

PARNELL SURGICAL ASSISTING, LLC

Practice address

2313 Parkhaven Drive
Plano, TX 75075-2014

Phone

(972) 768-7337

Fax

(972) 202-0408

NPI assigned

Sep 20, 2012

Organization subpart

No

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

Authorized official

Name

Samantha M. Parnell, PA-C

Title

President

Phone

(972) 768-7337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1801147681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 PARKHAVEN DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752014",
            "telephone_number": "972-768-7337",
            "fax_number": "972-202-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 PARKHAVEN DRIVE",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752014",
            "telephone_number": "972-768-7337",
            "fax_number": "972-202-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARNELL SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-768-7337",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA04153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Plano, TX
• Providers in Plano, 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 Aug 24, 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.