CAROLYN BUSSINEAU PA-C NPI 1265009575

NPI Information

NPI: 1265009575
Provider Name: CAROLYN BUSSINEAU, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND, TX
ZIP 77478
Phone: (832) 655-4141
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Carolyn Bussineau, PA-C is a surgical physician assistant in Sugar Land, TX with 3 years of experience. Carolyn Bussineau, PA-C NPI is 1265009575. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 SUGAR CREEK CENTER BLVD STE 618
SUGAR LAND, TX
ZIP 77478-540
Phone: (832) 655-4141

The NPI 1265009575 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2021 and was last updated on 6/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8QF481	OTHER	TEXAS	BCBS - UNIVERSAL SURGICAL PARTNERS
2	8QC673	OTHER	TEXAS	BCBS - XCITE SURGICAL
3	8QC855	OTHER	TEXAS	BCBS - UNIVERSAL SURGICAL ASSISTANTS
4	PA14707	OTHER	TEXAS	TEXAS MEDICAL BOARD
5	8QA717	OTHER	TEXAS	BCBS - BLUESTAR SURGICAL
6	8PX960	OTHER	TEXAS	BCBS - UNIVERSAL SURGICAL MSO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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