Elite Surgical Staffing, PLLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

ELITE SURGICAL STAFFING, PLLC

Practice address

11212 State Highway 151
San Antonio, TX 78251-4498

Phone

(405) 708-8049

NPI assigned

Mar 21, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Ellen Grzybowski, RNNPI 1013667716

Title

Sole Member/Rnfa

Phone

(405) 708-8049

Specialties & licenses 2

Addresses

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.

• Kathleen Ellen Grzybowski, RN

  • Registered Nurse
  • San Antonio, TX
  • NPI 1013667716
  NPD Authorized official

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1861141582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14431 PALOMINO PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544416",
            "telephone_number": "405-708-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "405-708-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Treeline Park",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782092042",
            "country_code": "US",
            "telephone_number": "405-708-8049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE SURGICAL STAFFING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "GRZYBOWSKI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "SOLE MEMBER/RNFA",
        "authorized_official_telephone_number": "405-708-8049",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Rehab Services, LLC (Elite Rehab)
• Elite Rejuvenation Clinic
• Elite Seniors Home Care LLP
• Elite Surgical Assisting of South Texas
• Elite Surgical Associates of Sa
• Elite Vision Satx PLLC (Elite Vision)
• Elitemed Revenue Management LLC
• Ashley Kimtashi Elix, AGACNP-BC
• Elizabeth Bohnenblust Clanton, MD, PA
• Elizabeth Hughes Dermatology PLLC

• Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.