Trahan Surgical Group LLC

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

597248 Issued in TX

Legal business name

TRAHAN SURGICAL GROUP LLC

Practice address

12050 Woodland Cir
Beaumont, TX 77705-6538

Phone

(409) 673-1128

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jody Glenn Trahan, RNFANPI 1770612731

Title

President

Phone

(409) 673-1128

Specialties & licenses 1

Addresses

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.

• Jody G Trahan, RN, CNOR

  • Registered Nurse First Assistant
  • Sugar Land, TX
  • NPI 1770612731
  Authorized official Same address or phone

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1811479348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12050 WOODLAND CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056538",
            "telephone_number": "409-673-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12050 WOODLAND CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056538",
            "telephone_number": "409-673-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAHAN SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-673-1128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "597248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Touchstone, SLP
• Dwight Mark Toups, M.D.,F.A.C.P.
• Tammy Toups, AGPCNP-BC
• Traci Sonn, LLC (Victory Home Care)
• Traci Vaughn, M.D., P.a.
• Donald Everett Trahan, PH.D.
• Le'Toria Precious Trahan, LPC
• Giang Khanh Tran
• Hoang Van Tran, OD
• Julie Tran, FNP-C

• Registered Nurse First Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.