Surgery in Motion

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

09-195 Issued in TX

Legal business name

SURGERY IN MOTION

Practice address

7512 Forest Bend Dr
Parker, TX 75002-6823

Phone

(214) 364-6769

NPI assigned

Mar 24, 2017

Last updated

Mar 24, 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

Mr. Jeff Boutte, SA-C

Title

Surgical Assistant

Phone

(214) 364-6769

Specialties & licenses 1

Addresses

Tax ID family

Surgery in Motion2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surgery in Motion

  • Nursing Care Agency
  • Parker, TX
  • NPI 1861846289
  NPD tax ID

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1962933622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 FOREST BEND DR",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750026823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 FOREST BEND DR",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750026823",
            "telephone_number": "214-364-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY IN MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "BOUTTE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "214-364-6769",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "09-195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Housecalls Management LLC
• Rochelle Rheaetta Sladky, LPC
• SMB Medical PLLC
• Special Ops Staffing
• Surgery in Motion
• Shruti Thakkar, PA-C
• Benjamin Volkman, PT
• Woodford Medical PLLC

• Surgical Physician Assistant in Parker, TX
• Providers in Parker, 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 Mar 24, 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.