NPI age
15 years
Enumerated 2011-02-16
● Active
Type 1 · Individual
Amy D Sustaita
Sustaita is 1 of 7 physician assistant providers in Marshall and 1 of 11,283 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-16
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11283 active physician assistant providers in Texas.
NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2011 → 2021
2011-02Enumerated in NPPES
2011
2021
Where they practice
Practice location
815 S Washington Ave Ste 100
Marshall, TX 756705316
Mailing address
304 Medic Ln, Ste B
Alvin, TX 775115894
Additional practice locations
1 secondary location on file with NPPES.
Location 2
10950 Resource Pkwy, Suite A
Houston, TX 770896134
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 420661701 |
Medicare directory context
Medicare specialties
Physician Assistant
Telehealth
Listed by CMS
Confirm current availability with the practice
Largest Medicare group
1540 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Christus Trinity Clinic Texas
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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