Provider Demographics
NPI:1952772535
Name:NATIONAL SURGICALSTAFF HEALTH PROFESSIONALS LLC
Entity Type:Organization
Organization Name:NATIONAL SURGICALSTAFF HEALTH PROFESSIONALS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROLD
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LSA OPA-C
Authorized Official - Phone:432-935-1755
Mailing Address - Street 1:236 MONKEY RD
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:TX
Mailing Address - Zip Code:78621-5506
Mailing Address - Country:US
Mailing Address - Phone:432-935-1755
Mailing Address - Fax:512-285-4776
Practice Address - Street 1:236 MONKEY RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:TX
Practice Address - Zip Code:78621-5506
Practice Address - Country:US
Practice Address - Phone:432-935-1755
Practice Address - Fax:512-285-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WM0705X
TXSA00074246ZC0007X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No163WM0705XNursing Service ProvidersRegistered NurseMedical-SurgicalGroup - Multi-Specialty
No246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty