Active NPI
Skyline Surgical Staffing, LLC
- Surgical Physician Assistant
- Decatur, TX
National Provider Identifier
1831703297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- SKYLINE SURGICAL STAFFING, LLC
- Practice address
- 284 County Road 4223
Decatur, TX 76234-8339 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Sep 3, 2020
- Last updated
- Apr 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marco Pena, CSFA
- Title
- Owner
- Phone
- (806) 535-9197
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary | |
| Surgical Assistant | 246ZC0007X | NU |
Addresses
Primary practice location
284 County Road 4223
Decatur, TX 76234-8339
Mailing address
PO Box 106
Alvarado, TX 76009-0106
Phone (806) 535-9197
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777248000000",
"number": "1831703297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "ALVARADO",
"state": "TX",
"postal_code": "760090106",
"telephone_number": "806-535-9197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 COUNTY ROAD 4223",
"city": "DECATUR",
"state": "TX",
"postal_code": "762348339",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLINE SURGICAL STAFFING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-03",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "MARCO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-535-9197",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.