On-Call Surgical Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2021 Issued in AZ

Legal business name

ON-CALL SURGICAL ASSISTANTS LLC

Practice address

5710 W Spur Dr
Phoenix, AZ 85083-1245

Phone

(623) 229-4674

NPI assigned

Feb 8, 2008

Last updated

Aug 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Troy Holbert, PA-CNPI 1801876834

Title

Physician Assistant/ President

Phone

(623) 229-4674

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, and the practitioner matching its NPPES authorized official.

• Timothy Troy Holbert, PA

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1801876834
  Authorized official Same address or phone

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1023296381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12546",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853182546",
            "telephone_number": "623-229-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 W SPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831245",
            "telephone_number": "623-229-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-CALL SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "HOLBERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "TROY",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/ PRESIDENT",
        "authorized_official_telephone_number": "623-229-4674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.