National Surgicalstaff Health Professionals LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

SA00074 Issued in TX

Legal business name

NATIONAL SURGICALSTAFF HEALTH PROFESSIONALS LLC

Practice address

236 Monkey Rd
Elgin, TX 78621-5506

Phone

(432) 935-1755

Fax

(512) 285-4776

NPI assigned

Oct 8, 2015

Last updated

Oct 21, 2015By 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

Dr. Jerold Stephen Greer, PHD LSA OPA-CNPI 1699750570

Title

Owner

Phone

(432) 935-1755

Specialties & licenses 3

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.

• Jerold Stephen Greer, LSA

  • Surgical Assistant
  • Elgin, TX
  • NPI 1699750570
  NPD (past) Authorized official

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1952772535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 MONKEY RD",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786215506",
            "telephone_number": "432-935-1755",
            "fax_number": "512-285-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 MONKEY RD",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786215506",
            "telephone_number": "432-935-1755",
            "fax_number": "512-285-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL SURGICALSTAFF HEALTH PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "JEROLD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-935-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LSA OPA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00074",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "SA00074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Martinez, LCSW
• Ednica Maxineau, OTR/L
• John Michael McIntyre, APRN, FNP-C
• Laura Susan Miller
• Mydental at Elgin PLLC (myDental)
• Ruthie Michelle North, PTA
• L'Oreal Desiree Nunez, LCSW
• Oakhurst Manor Personal Care Home Inc.
• Elida Olivarri
• Marlys Olofson, NP

• Surgical Physician Assistant in Elgin, TX
• Providers in Elgin, 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 Oct 21, 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.

Verify at the official NPI Registry.