Active NPI
Physician Surgical Assisting
- Registered Nurse First Assistant
- Heath, TX
National Provider Identifier
1851681753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 577758
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Keller, RNFA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 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 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.
-
- Registered Nurse First Assistant
- Garland, TX
- NPI 1013222686
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.