Ardemaik Surgical Services

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00445 Issued in TX

Legal business name

ARDEMAIK SURGICAL SERVICES

Practice address

10935 Almeda Genoa Rd
Pob 34551
Houston, TX 77034-9998

Phone

(281) 653-2924

NPI assigned

Feb 9, 2015

Organization subpart

No

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

Authorized official

Name

Elsida Margarita Perez Tamayo

Title

Surgical Assistant

Phone

(281) 653-2924

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1831580166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ALMEDA GENOA RD",
            "address_2": "P.O. BOX 34551",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770349998",
            "telephone_number": "281-653-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ALMEDA GENOA RD",
            "address_2": "POB 34551",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770349998",
            "telephone_number": "281-653-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEMAIK SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "PEREZ TAMAYO",
        "authorized_official_first_name": "ELSIDA",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "281-653-2924"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00445",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.