Organization Active NPI

Physician Surgical Assisting

  • Registered Nurse First Assistant
  • Heath, TX
National Provider Identifier
1851681753
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
577758 Issued in TX
Legal business name
PHYSICIAN SURGICAL ASSISTING
Practice address
6 Wimbledon CT
Heath, TX 75032-5998
Phone
(214) 564-7519
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mr. Stephen Keller, RNFANPI 1013222686
Title
President
Phone
(214) 564-7519

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 163WR0006X 577758 TX Primary

Addresses

Primary practice location

6 Wimbledon CT
Heath, TX 75032-5998

Mailing address

PO Box 495638
Garland, TX 75049-5638
Phone (214) 564-7519

National Provider Directory

National Provider Directory

Practitioners & 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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1851681753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 495638",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750495638",
            "telephone_number": "214-564-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 WIMBLEDON CT",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750325998",
            "telephone_number": "214-564-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-564-7519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "577758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.