THE SURGERY PRO (NPI# 1639787385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639787385 |
| Entity Type | Organization |
| Organization Name | THE SURGERY PRO |
| Practice Address |
1805 Meadow Trail Ln Aubrey TX 76227-1447 |
| Mailing Address |
Po Box 2550 Rowlett TX 75030-2550 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 2147640880 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 2147640880 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | JACQUELINE OTAMIRI (OWNER) |
| Authorized Official Telephone | 2142272457 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1805 MEADOW TRAIL LN |
| City | AUBREY |
| State | TX |
| Zip Code | 76227-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396188041 | Jacqueline S Otamiri | Specialist/Technologist, Other | 1805 Meadow Trail Ln, Aubrey, TX 76227-1447 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844406 | Jason Jenkins | Massage Therapist | 1213 Golden Eagle Ct., Aubrey, TX 76227 | 2020-09-04 |
| 1124667209 | Cornerstone Chiropractic II LLC | Chiropractor | 27077 East University Drive, Bldg 2, Ste 200, Aubrey, TX 76227 | 2020-01-06 |
| 1467000562 | Ftfslp LLC | Speech-Language Pathologist | 4800 Us Highway 377 S. Building 400, Aubrey, TX 76227 | 2019-09-01 |
| 1457912214 | Vista Rehab Partners, Lp | Physical Therapist | 26744 East University Dr #500, Little Elm, TX 76227 | 2019-06-24 |
| 1306400411 | Dental Depot of Little Elm, Pllc | Dentist | 26747 E University Dr., Aubrey, TX 76227 | 2019-04-24 |
| 1427511781 | Excelcare LLC | Pharmacy | 5315 Hwy 377 Bld 2, Ste C, Krugerville, Tx 76227, TX 76227 | 2019-04-12 |
| 1538638630 | Jane Bingiyan Bongotan | Registered Nurse | 6004 Hailey Ct Providence Village, Providence Village, TX 76227 | 2018-11-19 |
| 1134600729 | Revivify Revenue Cycle Consulting LLC | Durable Medical Equipment & Medical Supplies | 26850 Us Highway 380e, Suite 4002, Aubrey, TX 76227 | 2018-08-22 |
| 1518467067 | Jennifer Renee Harris | Licensed Vocational Nurse | 805 Hartsfield St, Savannah, TX 76227 | 2018-02-20 |
| 1922527647 | Laura Christine Giesler | Specialist/Technologist | 221 W Blackjack Rd, Aubrey, TX 76227 | 2017-09-13 |
| Find all providers in zip 76227 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043705 | Patricia Vincenty-marquez | Specialist/Technologist, Other | 11308 Culberson Dr, Aubrey, TX 76227-8050 | 2020-11-03 |
| 1184273930 | Kristen Jones | Specialist/Technologist, Other | 10425 Redfearn Rd, Aubrey, TX 76227-5965 | 2019-09-04 |
| 1811474117 | Scls Staffing LLC | Specialist/Technologist, Other | 228 Stanley Dr, Aubrey, TX 76227-6263 | 2018-07-19 |
| 1396188041 | Jacqueline S Otamiri | Specialist/Technologist, Other | 1805 Meadow Trail Ln, Aubrey, TX 76227-1447 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366791 | Erich Wittmer | Specialist/Technologist, Other | 2301 Links Dr, Edinburg, TX 78542-4542 | 2020-11-04 |
| 1992306492 | Jennifer Suzanne Tatsch-gleason | Specialist/Technologist, Other | 7700 Floyd Curl Dr., San Antonio, TX 78229-3902 | 2020-11-03 |
| 1881294866 | Cynthia Alonzo | Specialist/Technologist, Other | 3800 Gaylord Pkwy Ste 410, Frisco, TX 75034-9419 | 2020-10-28 |
| 1356941652 | Synergistic Surgical Assistant | Specialist/Technologist, Other | 7414 Brookport, San Antonio, TX 78238-3528 | 2020-10-27 |
| 1225636103 | Daniel Martin Cornejo Navarro | Specialist/Technologist, Other | 25157 Resaca Santa Dr, San Benito, TX 78586-8889 | 2020-10-13 |
| 1497353593 | Jose De Jesus Alvarado Veloz | Specialist/Technologist, Other | 216 Mango Rd, El Paso, TX 79915-4314 | 2020-10-12 |
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1760089296 | Mark Evar Espiritu Ogbac | Specialist/Technologist, Other | 2119 Pacific Loon Lane, Conroe, TX 77385 | 2020-10-07 |
| 1871100735 | Helpinghandsbyterri, LLC | Specialist/Technologist, Other | 4050 Mcewen Rd Apt 18102, Dallas, TX 75244-5458 | 2020-09-24 |
| 1588279582 | Marcos Rodriguez | Specialist/Technologist, Other | 1121 Rio Hondo Rd, Harlingen, TX 78550-3946 | 2020-09-15 |
| 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.