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

Last updated

May 21, 2014By 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

Autumn R Lewis-Bonifazi, CSANPI 1740545771

Title

Owner

Phone

(832) 654-9379

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.

• Autumn Rachelle Lewis-Bonifazi, CSA

  • Surgical Technologist
  • Conroe, TX
  • NPI 1740545771
  Authorized official Same address or phone

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.