PROMED SURGICAL ASSISTANTS (NPI# 1134587876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134587876 |
Entity Type | Organization |
Organization Name | PROMED SURGICAL ASSISTANTS |
Practice Address |
58 Cloverdale Ct Montgomery TX 77356-8251 |
Mailing Address |
Po Box 856 Montgomery TX 77356-0856 |
Practice Telephone | 3464442705 |
Practice Fax Number | 8322188987 |
Mailing Telephone | 3464442705 |
Mailing Fax Number | 8322188987 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |
Authorized Official Name | EDGARDO ISAURO PAGOAGA (OWNER) |
Authorized Official Telephone | 3464442705 |
Authorized Official Credential | CSA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
58 CLOVERDALE CT |
City | MONTGOMERY |
State | TX |
Zip Code | 77356-8251 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346567765 | Edgardo I Pagoaga | Specialist/Technologist, Other | 58 Cloverdale Ct, Montgomery, TX 77356-8251 | 2010-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952919490 | Age Well Concierge Medicine | Family Medicine | 18441 Tx-105, Suite B, Montgomery, TX 77356 | 2020-07-21 |
1912549908 | Kindra Siewood | Speech-Language Pathologist | 15320 Tx-105 W, Suite 116, Montgomery, TX 77356 | 2019-10-11 |
1710545595 | Vaughn Motley Bryant IIi | Counselor | 14740 Liberty Street, Montgomery, TX 77356 | 2019-06-05 |
1871157420 | Belinda Kay Warren Delapena | Counselor | 3507 Whittier, Montgomery, TX 77356 | 2019-04-30 |
1841760071 | Cvs Pharmacy Inc | Pharmacy | 20125 Eva Street, Montgomery, TX 77356 | 2018-11-30 |
1750863429 | Kristina Lynn Knighten | Specialist/Technologist | 3602 Woodland Lane, Montgomery, TX 77356 | 2018-08-30 |
1770072415 | Crosby Pharmacy & Wellness, LLC | Pharmacy | 18446 Tx - 105 Ste D, Montgomery, TX 77356 | 2018-05-08 |
1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
1821535261 | Ramon Campbell | Nurse Practitioner | 108 Harbour Town Drive, Montgomery, TX 77356 | 2017-01-24 |
1447628995 | Erica Everett | Nurse Practitioner | 110 April Wind Ct, Montgomery, TX 77356 | 2015-09-14 |
Find all providers in zip 77356 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043637572 | Alejandra Elizabeth Ceron | Physician Assistant | 24740 Shady Oaks Blvd, Montgomery, TX 77316-3892 | 2014-03-21 |
1821295544 | Edith C Agee | Physician Assistant | 2101 Chestnut St, Montgomery, AL 36106-1112 | 2007-06-27 |
1023194073 | Norman Edward Hobbs | Physician Assistant | 2055 E South Blvd Ste 301, Montgomery, AL 36116-2003 | 2006-10-31 |
1770727497 | Lauren Lane Bannon | Physician Assistant | 454 Taylor Rd, Montgomery, AL 36117-3563 | 2009-04-24 |
1144379348 | Melanie A Hurston | Physician Assistant | 257 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2007-01-09 |
1720154768 | Michael D Easterling | Physician Assistant | 1510 Forest Ave, Montgomery, AL 36106-1517 | 2006-11-28 |
1477633279 | Kendall F Roper | Physician Assistant | 2055 E South Blvd, Suite 601, Montgomery, AL 36116-2001 | 2006-10-16 |
1184726580 | Amy D Rapp | Physician Assistant | 2065 E South Blvd, Suite 204, Montgomery, AL 36116-2458 | 2006-09-05 |
1124065222 | Darron E Forrest | Physician Assistant | 273 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-05-31 |
1386604403 | Michael T Mount | Physician Assistant | 2119 E South Blvd, #200, Montgomery, AL 36116-2495 | 2006-03-24 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 77356 |
Please comment or provide details below to improve the information on PROMED SURGICAL ASSISTANTS.
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.