SURGLIFE SURGICAL ASSOCIATES, LLC (NPI# 1801408018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801408018 |
| Entity Type | Organization |
| Organization Name | SURGLIFE SURGICAL ASSOCIATES, LLC |
| Practice Address |
13502 Lake Barkley Ln Houston TX 77044-1361 |
| 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 | 2020-08-19 |
| Last Update Date | 2020-08-27 |
| Authorized Official Name | RENEE LOPEZ (OWNER) |
| Authorized Official Telephone | 2142272457 |
| Authorized Official Credential | LSA |
| 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 |
13502 LAKE BARKLEY LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77044-1361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457547473 | Frank M Lopez | Specialist/Technologist, Other | 13502 Lake Barkley Ln, Houston, TX 77044-1361 | 2007-09-24 |
| 1669782330 | Renee L Lopez | Specialist/Technologist, Other | 13502 Lake Barkley Ln, Houston, TX 77044-1361 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC | Clinic/Center | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc | Dentist | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| Find all providers in zip 77044 | ||||
| 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 |
|---|---|---|---|---|
| 1639777824 | Eli Andres Pineda Faria | Specialist/Technologist, Other | 2218 Greenhouse Rd Apt 3224, Houston, TX 77084-7960 | 2020-10-11 |
| 1588284947 | Solangel Ivette Santos Armas | Specialist/Technologist, Other | 2926 Barker Cypress Rd Apt 5207, Houston, TX 77084-7939 | 2020-04-25 |
| 1225663719 | Yosit Ponce Gutierrez | Specialist/Technologist, Other | 8423 Grand Knolls Dr, Houston, TX 77083-5586 | 2020-03-05 |
| 1821623505 | Juan Arturo Ramirez Pereyra | Specialist/Technologist, Other | 11000 Kinghurst Dr Unit 101, Houston, TX 77099-3453 | 2020-03-03 |
| 1972151041 | Yissel Codorniu Rodriguez | Specialist/Technologist, Other | 2600 Westerland Dr Apt 708, Houston, TX 77063-3347 | 2019-08-30 |
| 1407414741 | Andreina Maritza Escobar | Specialist/Technologist, Other | 611 Dairy Ashford Rd Apt 116, Houston, TX 77079-3902 | 2019-06-02 |
| 1124684311 | Texas Excellent Surgical Assistant LLC | Specialist/Technologist, Other | 12007 Meadow Place Dr, Houston, TX 77071-2473 | 2019-05-14 |
| 1386104537 | Faisal Habib Cheema | Specialist/Technologist, Other | 4707 Pin Oak Park Apt 1002, Houston, TX 77081-2255 | 2019-03-23 |
| 1568929768 | Farley Antonio Hernandez Bolivar | Specialist/Technologist, Other | 13203 Parkway Hills Dr, Houston, TX 77077-2762 | 2019-02-23 |
| 1427514207 | Ace Surgical Assistant Associates LLC | Specialist/Technologist, Other | 14403 Walters Rd # 680366, Houston, TX 77014-1336 | 2019-02-16 |
| Find all providers in HOUSTON | ||||
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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.