Suncoast Hernando Surgical Assisting Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9102477 Issued in FL

Legal business name

SUNCOAST HERNANDO SURGICAL ASSISTING INC

Practice address

5115 Suwannee Rd
Weeki Wachee, FL 34607-2354

Phone

(352) 592-4696

NPI assigned

Dec 1, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Judith A Koster, PA-C

Title

Registered Agent

Phone

(352) 592-4696

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354320000000",
    "number": "1023353125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 SUWANNEE RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072354",
            "telephone_number": "352-592-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 SUWANNEE RD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346072354",
            "telephone_number": "352-592-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST HERNANDO SURGICAL ASSISTING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-01",
        "last_updated": "2012-12-01",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "352-592-4696",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9102477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Weeki Wachee, FL
• Providers in Weeki Wachee, 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 Dec 1, 2012; 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.