HERITAGE SURGICAL ASSIST ASSOCIATES PLLC (NPI# 1508424169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508424169 |
| Entity Type | Organization |
| Organization Name | HERITAGE SURGICAL ASSIST ASSOCIATES PLLC |
| Practice Address |
5550 Warren Pkwy Ste 200 Frisco TX 75034-7399 |
| Mailing Address |
Po Box 8517 Spring TX 77387-8517 |
| Practice Telephone | 4698500608 |
| Mailing Telephone | 2818201900 |
| Mailing Fax Number | 2818201901 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | ANDREW P DOLD (MANAGER) |
| Authorized Official Telephone | 4698500680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5550 WARREN PKWY STE 200 |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-7399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982913299 | Paul John Ghattas | Orthopaedic Surgery | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7398 | 2010-10-04 |
| 1790247435 | Andie Elisabeth Divita | Physician Assistant | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7398 | 2019-04-02 |
| 1891200168 | Star Orthopedics and Sports Medicine Pllc | Orthopaedic Surgery | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7398 | 2017-12-08 |
| 1932576980 | Andrew Peter Dold | Orthopaedic Surgery | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7398 | 2015-08-25 |
| 1740623388 | Jason Petrasic | Physical Medicine & Rehabilitation | 5550 Warren Pkwy Ste 200, Frisco, TX 75034-7399 | 2013-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
| Find all providers in zip 75034 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1568882926 | Premier Surgical Assists of North Texas Pllc | Physician Assistant | 4401 Coit Rd Ste 305, Frisco, TX 75035-0509 | 2014-04-23 |
| 1588613723 | Angela Gale Sanders-banuelas | Physician Assistant | 4461 Coit Rd Ste 101, Frisco, TX 75035-0522 | 2006-05-06 |
| 1215904289 | Mark Anthony Perkins | Physician Assistant | 3245 W Main St, Suite 235-182, Frisco, TX 75034-4411 | 2006-03-08 |
| 1205251865 | Kelli Breidenbach | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2014-02-19 |
| 1285978098 | Neurosurgical Pas of North Texas, Pa | Physician Assistant | 4461 Coit Rd., Suite 405, Frisco, TX 75035 | 2012-11-16 |
| 1346530086 | Perkins 1st Assistants LLC | Physician Assistant | 3245 W Main St, Ste 235-182, Frisco, TX 75034-4411 | 2011-04-14 |
| 1225155633 | Trisha Trevino Fennell | Physician Assistant | 4461 Coit Rd, Suite 301, Frisco, TX 75035-0521 | 2007-03-23 |
| 1033241732 | Michael Lee Burns | Physician Assistant | 4461 Coit Rd, Ste 101, Frisco, TX 75035-0521 | 2007-03-09 |
| 1043359136 | Annie M. Bowen | Physician Assistant | 360 Peak One Drive, Suite 180, Frisco, CO 80443 | 2007-02-05 |
| Find all providers in FRISCO | ||||
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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.