NPIMap

Organization Active NPI

North Star First Assist, PLLC

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1811569239
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
NORTH STAR FIRST ASSIST, PLLC
Practice address
4090 Mapleshade LN Ste 100
Plano, TX 75093-0025
Phone
(214) 592-9955
Fax
(214) 592-9935
NPI assigned
Jul 14, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Vudhi V Slabisak, MD
Title
Owner
Phone
(214) 592-9955

Specialties & licenses 1

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

Addresses

Primary practice location

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025

Mailing address

4090 Mapleshade LN Ste 100
Plano, TX 75093-0025
Phone (214) 592-9955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1811569239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "214-592-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 MAPLESHADE LN STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750930025",
            "telephone_number": "214-592-9955",
            "fax_number": "214-592-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR FIRST ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "SLABISAK",
        "authorized_official_first_name": "VUDHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-592-9955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.