SS Surgical Assisting, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SS SURGICAL ASSISTING, LLC

Practice address

2317 Cobblecreek Dr
Conroe, TX 77384-3703

Phone

(281) 541-8872

Fax

(331) 625-7932

NPI assigned

Aug 23, 2012

Last updated

Jun 21, 2017By 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

Vickie Cline, OPA-C, LSANPI 1700876919

Title

Owner

Phone

(281) 541-8872

Specialties & licenses 1

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.

• Vickie Cline, OPA-C, LSA, SA-C

  • Surgical Physician Assistant
  • Conroe, TX
  • NPI 1700876919
  NPD (past) Authorized official

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1962750901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 COBBLECREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843703",
            "telephone_number": "281-541-8872",
            "fax_number": "331-625-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 COBBLECREEK DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773843703",
            "telephone_number": "281-541-8872",
            "fax_number": "331-625-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-541-8872",
        "authorized_official_credential": "OPA-C, LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Conroe, TX
• Providers in Conroe, 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 Jun 21, 2017; 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.