Organization Active NPI

Surgical Assistants of Collin County, PLLC

  • Surgical Physician Assistant
  • McKinney, TX
National Provider Identifier
1942071253
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL ASSISTANTS OF COLLIN COUNTY, PLLC
Practice address
6850 TPC Dr Ste 116
McKinney, TX 75070-3145
Phone
(972) 838-1635
Fax
(945) 234-3018
NPI assigned
Jan 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Ms. Rebecca Goodwin
Title
Practice Manager
Phone
(972) 838-1635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

6850 TPC Dr Ste 116
McKinney, TX 75070-3145

Mailing address

6850 TPC Dr Ste 116
McKinney, TX 75070-3145
Phone (972) 838-1635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1942071253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 TPC DR STE 116",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703145",
            "telephone_number": "972-838-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 TPC DR STE 116",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703145",
            "telephone_number": "972-838-1635",
            "fax_number": "945-234-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTANTS OF COLLIN COUNTY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "972-838-1635",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.