Active NPI
Carly Amber Orsburn, CST/CFA
- Surgical Assistant
- Steens, MS
National Provider Identifier
1023253952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 103306
- Practice address
- 7811 Highway 12 E
Steens, MS 39766-9012 - Phone
- (662) 312-9734
- NPI assigned
- Dec 5, 2008
- Last updated
- Dec 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 103306 | MS | Primary |
Addresses
Primary practice location
7811 Highway 12 E
Steens, MS 39766-9012
Mailing address
7811 Highway 12 E
Steens, MS 39766-9012
Phone (662) 312-9734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103306 | MS | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228435200000",
"number": "1023253952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7811 HIGHWAY 12 E",
"city": "STEENS",
"state": "MS",
"postal_code": "397669012",
"telephone_number": "662-312-9734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7811 HIGHWAY 12 E",
"city": "STEENS",
"state": "MS",
"postal_code": "397669012",
"telephone_number": "662-312-9734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORSBURN",
"first_name": "CARLY",
"middle_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "CST/CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-05",
"last_updated": "2008-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "MS",
"license": "103306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Steens, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.