P G Surgical Assisting LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

P G SURGICAL ASSISTING LLC

Practice address

64 Hurricane Rd
Gorham, ME 04038-2484

Phone

(207) 893-1167

Fax

(888) 329-6432

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Pamela Graves, CST ASCNPI 1285831453

Title

President

Phone

(207) 893-1167

Specialties & licenses 1

Addresses

Practitioners 1

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

• Pamela Graves, CST AS-C

  • Surgical Technologist
  • Gorham, ME
  • NPI 1285831453
  NPD (past) Authorized official

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013114289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 HURRICANE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382484",
            "telephone_number": "207-893-1167",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HURRICANE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382484",
            "telephone_number": "207-893-1167",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P G SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-893-1167",
        "authorized_official_credential": "CST ASC"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Parent, LMT
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• Rebecca Paschal, MS

• Surgical Technologist in Gorham, ME
• Providers in Gorham, ME by specialty
• Surgical Technologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.