Surgical Services Group, Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGICAL SERVICES GROUP, INC

Practice address

3200 N Tarrant Pkwy
Fort Worth, TX 76177-8611

Phone

(817) 756-8236

NPI assigned

Jan 11, 2021

Last updated

Dec 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rekha Wagle

Title

Npi Administrator

Phone

(817) 756-8232

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1912596495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E LAMAR BLVD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760067361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N TARRANT PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761778611",
            "telephone_number": "817-756-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SERVICES GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "WAGLE",
        "authorized_official_first_name": "REKHA",
        "authorized_official_title_or_position": "NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "817-756-8232"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwagle@surgicalserv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2000 E LaMar Blvd Ste 600",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760067361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sure Health Neuromonitoring LLC
• Suresh Kankanala M.D, P.a.
• Surgical Auxilium LLC
• Surgical Caregivers of Fort Worth LLC (Texas Health Surgery Center Fort Worth Midtown)
• Surgical Nurse First Assist, PC
• Surgicalist of TX PLLC
• Vidya Sri Suri, DDS
• Elizabeth Surita-Khuat, M.A., CCC-SLP
• Blaire Surley, OTR, CBIS
• Jeremy Lee Surratt

• Surgical Physician Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.