Obsidian Surgical Services, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

OBSIDIAN SURGICAL SERVICES, LLC

Practice address

3319 Marble Crest Dr
Land O Lakes, FL 34638-6082

Phone

(352) 514-3413

NPI assigned

Jun 19, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ashlee R McNiffNPI 1144652819

Title

Ceo

Phone

(352) 514-3413

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashlee R.a. McNiff, PA-C

  • Physician Assistant
  • Tampa, FL
  • NPI 1144652819
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624060800000",
    "number": "1003485541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 MARBLE CREST DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386082",
            "telephone_number": "352-514-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 MARBLE CREST DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386082",
            "telephone_number": "352-514-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A",
        "authorized_official_last_name": "MCNIFF",
        "authorized_official_first_name": "ASHLEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-514-3413"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Nunez, LCSW
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• Oakstead Urgent Care, LLC
• Jason C Oberne, APRN FNP-BC
• Michael Ezekwesili Obi-Anadiume, PT, DPT
• Ohi West, Inc
• Ehijele Omoike, MD
• Cheyenne Cheree Oneal, OTR/L
• Optimum Health & Wellness, LLC
• Orthoreset Physical Therapy LLC

• Surgical Physician Assistant in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.