SURGICAL MASTERS FIRST ASSISTANTS (NPI# 1992281679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992281679 |
Entity Type | Organization |
Organization Name | SURGICAL MASTERS FIRST ASSISTANTS |
Practice Address |
2708 Maple Brook Ct Bedford TX 76021-7212 |
Mailing Address |
Po Box 938 Rowlett TX 75030-0938 |
Practice Telephone | 8173136419 |
Mailing Telephone | 2142272457 |
Enumeration Date | 2018-07-16 |
Last Update Date | 2018-07-16 |
Authorized Official Name | MR. TONY JOSEPH PORRATA (OWNER) |
Authorized Official Telephone | 8173136419 |
Authorized Official Credential | LSA, OPA-C, CSFA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00598 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2708 MAPLE BROOK CT |
City | BEDFORD |
State | TX |
Zip Code | 76021-7212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
Find all providers in zip 76021 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427594381 | Katrina Jackson Holley | Physician Assistant | 1604 Hospital Pkwy Ste 501, Bedford, TX 76022-6932 | 2017-01-16 |
1821338344 | Matthew E. Porter | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6983 | 2013-02-20 |
1730294828 | Carl Travis Palmer | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-20 |
1356456263 | Brian Edward Snow | Physician Assistant | 4 Hawthorne Dr, Bedford, NH 03110-6912 | 2006-08-20 |
1699784314 | Dovie Mcvean | Physician Assistant | 2008 L Don Dodson Dr, Suite 110, Bedford, TX 76021-5788 | 2006-08-05 |
1841210804 | William J White | Physician Assistant | 1604 Hospital Pkwy, Suite 407, Bedford, TX 76022-6986 | 2006-07-20 |
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 |
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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.