MICHAEL A. ELLER SURGICAL ASSISTANT SERVICES, LLC (NPI# 1922384072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922384072 |
| Entity Type | Organization |
| Organization Name | MICHAEL A. ELLER SURGICAL ASSISTANT SERVICES, LLC |
| Practice Address |
1386 Broad Valley Ct Burleson TX 76028-6502 |
| Practice Telephone | 2142272457 |
| Practice Fax Number | 9724637247 |
| Mailing Telephone | 2142272457 |
| Mailing Fax Number | 9724637247 |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | MR. MICHAEL A ELLER (OWNER) |
| Authorized Official Telephone | 2142272457 |
| Authorized Official Credential | SA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
SA00012 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1386 BROAD VALLEY CT |
| City | BURLESON |
| State | TX |
| Zip Code | 76028-6502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568515617 | Micheal A Eller | Specialist | 1386 Broad Valley Ct, Burleson, TX 76028-6502 | 2007-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104657 | Ballard Family Dentistry In Burleson | Dentist | 2701 Sw Wilshire Blvd, Burleson, TX 76028 | 2020-01-29 |
| 1013567205 | Amy Burden | Family Medicine | 240 E Renfro St Ste 203, Burleson, TX 76028 | 2019-09-19 |
| 1962985903 | Bobbie Jo Deweese | Registered Nurse | 279 W Hidden Creek Pkwy Ste 1209, Burleson, TX 76028 | 2018-09-14 |
| 1154803096 | Martha Jepchirchir | Registered Nurse | 1084 Meadow Scape Dr, Burleson, TX 76028 | 2018-09-06 |
| 1407334022 | Catherine Cornelia Wilson | Registered Nurse | 12500 South Fwy Ste 100, Burleson, TX 76028 | 2018-08-06 |
| 1174001911 | Amanda Kaye Contino | Registered Nurse | 120 Ne Wilshire Blvd, Burleson, TX 76028 | 2018-08-03 |
| 1275019671 | Lacey Paulett Anderson | Speech-Language Pathologist | 1101 Whispering Spring Ct, Burleson, TX 76028 | 2018-07-18 |
| 1720572647 | Keith Anderson Orthodontics Pllc | Dentist | 310 Nw John Jones Dr, Suite 108, Burleson, TX 76028 | 2018-06-15 |
| 1033602537 | Justin Randal Sanders | Nurse Practitioner | 924 County Road 914, Burleson, TX 76028 | 2018-06-08 |
| 1861992695 | Taylor Henry | Family Medicine | 739 Tanglewood Drive, Burleson, TX 76028 | 2018-02-19 |
| Find all providers in zip 76028 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760863922 | Christopher Hayes Cst Rn Bsn | Clinical Nurse Specialist | 608 Forest View Ct, Hurst, TX 76054-2821 | 2015-06-13 |
| 1902212012 | Amy Herrera | Clinical Nurse Specialist | 1222 Commerce St Apt 1605, Dallas, TX 75202-4358 | 2014-07-09 |
| 1902172125 | Randa Sue Vajdak | Clinical Nurse Specialist | 3740 Copperfield Dr., Ste 105, Bryan, TX 77802 | 2012-04-02 |
| 1023385564 | North Texas Pro Surgical Assist, LLC | Clinical Nurse Specialist | 2809 Branch Oaks Dr, Mckinney, TX 75070-8775 | 2011-11-29 |
| 1558640599 | Wayne Belaire Enterprises Pllc | Clinical Nurse Specialist | 3167 Mariannwood Dr, Port Neches, TX 77651-6015 | 2011-08-09 |
| 1770708927 | Laura L Bonner | Clinical Nurse Specialist | 2521 Lone Star Ln, Grapevine, TX 76051-4535 | 2007-04-14 |
| 1558419242 | Amanda H Wood | Clinical Nurse Specialist | 1415 Leigh Gardens Dr, Sugar Land, TX 77479-1884 | 2007-01-08 |
| 1487717096 | Karen Gilley | Clinical Nurse Specialist | 10113 Loving Trail Dr, Frisco, TX 75035-8175 | 2006-12-18 |
| 1871674580 | Christine Jean Walker | Clinical Nurse Specialist | 13521 Mane Ct, Justin, TX 76247-1110 | 2006-10-18 |
| 1720190762 | Linda J Kirk | Clinical Nurse Specialist | 215 E Quincy St Ste 610, San Antonio, TX 78215-2031 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MICHAEL A. ELLER SURGICAL ASSISTANT SERVICES, LLC.
| 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.