Synergy Surgical Assisting

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SYNERGY SURGICAL ASSISTING

Practice address

15011 Badger Ranch Blvd
Woodway, TX 76712-8829

Phone

(832) 654-9379

Fax

(254) 399-6493

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Autumn R Lewis-Bonifazi, CSA

Title

Owner

Phone

(832) 654-9379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1831501170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15011 BADGER RANCH BLVD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128829",
            "telephone_number": "832-654-9379",
            "fax_number": "254-399-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15011 BADGER RANCH BLVD",
            "city": "WOODWAY",
            "state": "TX",
            "postal_code": "767128829",
            "telephone_number": "832-654-9379",
            "fax_number": "254-399-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS-BONIFAZI",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-654-9379",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Woodway, TX
• Providers in Woodway, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.