ELITE SURGICAL SERVICES (NPI# 1821333709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821333709 |
| Entity Type | Organization |
| Organization Name | ELITE SURGICAL SERVICES |
| Practice Address |
2652 Lake Ridge Dr Little Elm TX 75068-3400 |
| Practice Telephone | 4696931577 |
| Mailing Telephone | 4696931577 |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |
| Authorized Official Name | SYNEDRA INEZ BRUMFIELD (OWNER) |
| Authorized Official Telephone | 4696931577 |
| Authorized Official Credential | CST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
133075 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487042859 | Elite Surgical Services | Clinic/Center | 1860 Mowry Ave, Ste.#401, Fremont, CA 94538-1730 | 2015-01-07 |
| Street Address |
2652 LAKE RIDGE DR |
| City | LITTLE ELM |
| State | TX |
| Zip Code | 75068-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215272182 | Synedra Inez Brumfield | Physician Assistant | 2652 Lake Ridge Dr, Little Elm, TX 75068-3400 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1275178865 | A Gud Dentist, Pllc | Clinic/Center | 3010 Fm 423, #100, Little Elm, TX 75068 | 2019-11-07 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1447813183 | Adisy Senior Care | In Home Supportive Care | 1036 Ponderosa Ridge, Little Elm, TX 75068 | 2019-04-18 |
| 1518427715 | Cvs Pharmacy Inc | Pharmacy | 1177 Us Hwy 380, Frisco, TX 75068 | 2019-03-22 |
| 1205390382 | Catherine Mary Belyan | Specialist/Technologist, Other | 916 Rivers Creek Ln, Little Elm, TX 75068 | 2019-01-23 |
| 1851884407 | Peak Physical Therapy, LLC | Occupational Therapist | 2765 E Eldorado Pkwy Ste 210, Little Elm, TX 75068 | 2018-06-08 |
| 1134637119 | Kidzania Dental, LLC | Dentist | 26785 E. University Dr, St. 102, Aubrey, TX 75068 | 2018-01-12 |
| 1598289225 | Joshua Allen Nannen | Chiropractor | 900 Snowbird Dr, Little Elm, TX 75068 | 2017-08-03 |
| 1205381076 | Ka Park | Dentist | 1000 E Eldorado Pkwy #130, Little Elm, TX 75068 | 2016-08-22 |
| Find all providers in zip 75068 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215272182 | Synedra Inez Brumfield | Physician Assistant | 2652 Lake Ridge Dr, Little Elm, TX 75068-3400 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133340 | Mark Alan Williams | Physician Assistant | 4814 Lake Livingston Dr, Corpus Christi, TX 78413-5139 | 2020-10-28 |
| 1669081238 | Manuel V Leyva | Physician Assistant | 8407 Sunset Loch Dr, Spring, TX 77379-5121 | 2020-07-29 |
| 1194342212 | Sean Robert Jamieson | Physician Assistant | 2700 E Broad St Ste 200, Mansfield, TX 76063-5899 | 2020-07-06 |
| 1588284194 | Hill Country Surgical Management, Inc | Physician Assistant | 10454 Tippecanoe, San Antonio, TX 78245-3128 | 2020-04-23 |
| 1407475585 | Serenity Surgical Services | Physician Assistant | 3260 Springbok Cir, Frisco, TX 75034-3671 | 2020-04-09 |
| 1720610470 | Surgical Assistants of South Texas | Physician Assistant | 3414 Highway 146 S, La Porte, TX 77571-7400 | 2020-02-11 |
| 1710524103 | R & H Surgical Services, LLC | Physician Assistant | 14507 Parkesgate Dr, Houston, TX 77083-5792 | 2019-12-04 |
| 1639711195 | Landry & Kiejna Surgical Assisting | Physician Assistant | 1120 Business Center Dr Ste 110, Houston, TX 77043-2735 | 2019-10-16 |
| 1912558693 | Chandrant Akshar Pa | Physician Assistant | 400 W Arbrook Blvd Ste 230, Arlington, TX 76014-3174 | 2019-09-24 |
| 1700435831 | Christina A Vogel-rosbrook | Physician Assistant | 4330 Medical Drive, Suite 120, San Antonio, TX 78229-3353 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ELM |
| Zip Code | 75068 |
Please comment or provide details below to improve the information on ELITE SURGICAL SERVICES.
| 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.