PROVECTUS MEDICORUM SURGICAL ASSIST, LLC
NPI 1205366937
Specialist/Technologist, Other - Surgical Assistant in Houston, TX
NPI Status: Active since June 15, 2017
Contact Information
118 VINTAGE PARK BLVD STE W
HOUSTON, TX
ZIP 77070
Phone: (281) 730-1216
Fax: (281) 668-6374
- Organization
- Specialist/Technologist, Other
- Surgical Assistant
About PROVECTUS MEDICORUM SURGICAL ASSIST, LLC
This page provides the complete NPI Profile along with additional information for Provectus Medicorum Surgical Assist, Llc, a provider established in Houston, Texas operating as a Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1205366937 assigned on June 2017. The practitioner's primary taxonomy code is 246ZC0007X with license number SA00318 (TX). The provider is registered as an organization and their NPI record was last updated 3 years ago. Provectus Medicorum Surgical Assist, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tammy Sweet (Billing Manager)
- NPI
- 1205366937
- Provider Name
- PROVECTUS MEDICORUM SURGICAL ASSIST, LLC
- Entity Type
- Organization
- Location Address
- 118 VINTAGE PARK BLVD STE W HOUSTON, TX 77070
- Location Phone
- (281) 730-1216
- Location Fax
- (281) 668-6374
- Mailing Address
- PO BOX 11561 HOUSTON, TX 77293
- Mailing Phone
- (281) 730-1216
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-15-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Other Surgical Assistant
- Taxonomy Code
- 246ZC0007X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- SA00318
- License State
- TX
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| SA00318 | OTHER (01) | TX | STATE LICENSE |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 3 | 6 | 6 | 9 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 6 | 6 | 12 | 9 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 6 + 6 + 1 + 2 + 9 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1205366937 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
CAROLINA LUNA LCSW
Social Worker
(Clinical)
118 VINTAGE PARK BLVD STE W
SUITE 303
HOUSTON, TX
ZIP 77070
DUNAMIS HEALTH & WELLNESS PLLC
Nurse Practitioner
(Family)
118 VINTAGE PARK BLVD STE W
HOUSTON, TX
ZIP 77070
ADENIKE A ADELEKE APRN PMHNP-BC
Nurse Practitioner
(Psychiatric/Mental Health)
118 VINTAGE PARK BLVD STE W
HOUSTON, TX
ZIP 77070
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205366937, enumerated as an "organization" on June 15, 2017.
The provider is located at 118 VINTAGE PARK BLVD STE W HOUSTON, TX 77070 and the phone number is (281) 730-1216.
Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
