Eastlake Surgical Associates, LLC
NPI 1780163378 · Surgical Physician Assistant · Conroe, TX
Eastlake Surgical Associates, LLC is a Surgical Physician Assistant organization in Conroe, TX (NPI 1780163378).
Provider details
- NPI number
- 1780163378
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tiffany Moreland, Licensed Surgical Assistant(936) 444-7071
- License
- SA00639 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-08-14
- Last updated
- 2022-03-30
- Certified
- 2020-07-30
Frequently asked questions
- What is Eastlake Surgical Associates, LLC's NPI number?
- Eastlake Surgical Associates, LLC's National Provider Identifier (NPI) is 1780163378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastlake Surgical Associates, LLC?
- Eastlake Surgical Associates, LLC is classified in the NPPES registry as Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Eastlake Surgical Associates, LLC located?
- Eastlake Surgical Associates, LLC's practice location on file with NPPES is 2007 Shasta Ridge Dr, Conroe, TX 77304-4697.
- What is Eastlake Surgical Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastlake Surgical Associates, LLC is (936) 444-7071.
- Who is the authorized official for Eastlake Surgical Associates, LLC?
- The authorized official listed on Eastlake Surgical Associates, LLC's NPPES record is Tiffany Moreland, Licensed Surgical Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastlake Surgical Associates, LLC's NPI active?
- Yes — Eastlake Surgical Associates, LLC's NPI (1780163378) is active in the NPPES registry as of the last update on 2022-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.