HOUSTON SURGICAL RESOURCES LLC (NPI# 1124511563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124511563 |
| Entity Type | Organization |
| Organization Name | HOUSTON SURGICAL RESOURCES LLC |
| Practice Address |
3104 Stonehenge Dr Hernando MS 38632 |
| Mailing Address |
Po Box 938 Rowlett TX 75030-0938 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 2147640880 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | LEIGH HOUSTON (OWNER) |
| Authorized Official Telephone | 2142272457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
809926 | MS | Nursing Service Providers |
| Street Address |
3104 STONEHENGE DR |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1427435296 | Leigh Ann Houston, Rn First Assist | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| 1629252093 | Debra Shelton | Counselor | 190 W South St, Hernando, MS 38632 | 2007-12-20 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1902106602 | Debra E Graham | Registered Nurse | 391 W Herndon St, Hernando, FL 34442-5118 | 2010-10-27 |
| 1427435296 | Leigh Ann Houston, Rn First Assist | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693684 | Meggan Reisch | Registered Nurse | 2600 Parkwood Pl, Ocean Springs, MS 39564-4213 | 2015-03-05 |
| 1457764227 | Joseph Matthew Barnett | Registered Nurse | 7542a Luther Rd, Summit, MS 39666-5511 | 2014-06-09 |
| 1801178611 | Dovie Christine Pryor | Registered Nurse | 6105 Autumn Oaks Dr, Olive Branch, MS 38654-6611 | 2011-09-16 |
| 1801405923 | Melinda Bozeman | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-24 |
| 1073153433 | Justin Douglas | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1952941312 | Thomas Mcmahon | Registered Nurse | 427 Highway 51 N, Brookhaven, MS 39601-2350 | 2020-01-13 |
| 1962045765 | Melissa Dedeaux | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2019-10-24 |
| 1003329954 | Jessica Graham | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-11-14 |
| 1629589312 | Lisa Ann Butler | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-10-20 |
| 1659882348 | Amy Covington Odom | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2017-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.