Organization Active NPI

Synergy Orthopedic Assisting, LLC

  • Surgical Assistant
  • Austin, TX
National Provider Identifier
1902205446
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
112413 Issued in TX
Legal business name
SYNERGY ORTHOPEDIC ASSISTING, LLC
Practice address
1822 W Braker LN # 81603
Austin, TX 78758-3606
Phone
(512) 973-9222
Fax
(512) 777-4527
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Valentin Vidal Lopez, CSFA
Title
Owner/President
Phone
(210) 872-0449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 112413 TX Primary

Addresses

Primary practice location

1822 W Braker LN # 81603
Austin, TX 78758-3606

Mailing address

PO Box 81603
Austin, TX 78708-1603
Phone (512) 973-9222

Other identifiers 1

IdentifierTypeStateIssuer
112413OtherTXCSFA CERTIFICATION

Other names 1

  • Val Lopez Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1902205446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81603",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787081603",
            "telephone_number": "512-973-9222",
            "fax_number": "512-777-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 W BRAKER LN # 81603",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787583606",
            "telephone_number": "512-973-9222",
            "fax_number": "512-777-4527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY ORTHOPEDIC ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "VALENTIN",
        "authorized_official_middle_name": "VIDAL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-872-0449",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "112413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSFA CERTIFICATION",
            "identifier": "112413",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val Lopez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.