Organization Active NPI

Stat Surgical Assists, PLLC

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1831663228
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
STAT SURGICAL ASSISTS, PLLC
Practice address
16020 Park Valley Dr
Round Rock, TX 78681
Phone
(512) 629-4329
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Felicia Alderte
Title
Legal Operations Manager
Phone
(210) 598-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

16020 Park Valley Dr
Round Rock, TX 78681

Mailing address

MSC 708 PO Box 4914
Houston, TX 77210-4914
Phone (512) 629-4329

Other practice location 1

2541 S Interstate 35 Ste 200 # 420
Round Rock, TX 78664-7357
Phone (512) 629-4329

National Provider Directory

National Provider Directory

Locations

2541 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 629-4329

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1831663228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 708 PO BOX 4914",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104914",
            "telephone_number": "512-629-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16020 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78681",
            "telephone_number": "512-629-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2541 S INTERSTATE 35 STE 200 # 420",
            "address_purpose": "LOCATION",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786647357",
            "country_code": "US",
            "telephone_number": "512-629-4329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAT SURGICAL ASSISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "ALDERTE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "LEGAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-598-2801"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.