NPIMap

Organization Active NPI

Elite Surgical Services

  • Surgical Physician Assistant
  • Little Elm, TX
National Provider Identifier
1821333709
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
133075 Issued in TX
Legal business name
ELITE SURGICAL SERVICES
Practice address
2652 Lake Ridge Dr
Little Elm, TX 75068-3400
Phone
(469) 693-1577
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Synedra Inez Brumfield, CSTNPI 1215272182
Title
Owner
Phone
(469) 693-1577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 133075 TX Primary

Addresses

Primary practice location

2652 Lake Ridge Dr
Little Elm, TX 75068-3400

Mailing address

2652 Lake Ridge Dr
Little Elm, TX 75068-3400
Phone (469) 693-1577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1821333709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 LAKE RIDGE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750683400",
            "telephone_number": "469-693-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 LAKE RIDGE DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750683400",
            "telephone_number": "469-693-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "BRUMFIELD",
        "authorized_official_first_name": "SYNEDRA",
        "authorized_official_middle_name": "INEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-693-1577",
        "authorized_official_credential": "CST"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "133075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.