Organization Active NPI

Suncoast Surgical Assistants LLC

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1043525546
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102238 Issued in FL
Legal business name
SUNCOAST SURGICAL ASSISTANTS LLC
Practice address
5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065
Phone
(941) 400-1901
Fax
(941) 379-8219
NPI assigned
Aug 10, 2010
Last updated
Jul 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Gerald Douglas Testerman Jr., PANPI 1215988746
Title
Owner
Phone
(941) 400-1901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102238 FL Primary

Addresses

Primary practice location

5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065

Mailing address

5824 Bee Ridge Rd
#446
Sarasota, FL 34233-5065
Phone (941) 400-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000590 FL Part B Supplier - Clinic/Group Practice 2668647462 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL; Venice, FL; Englewood, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1043525546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5824 BEE RIDGE RD",
            "address_2": "#446",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335065",
            "telephone_number": "941-400-1901",
            "fax_number": "941-379-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5824 BEE RIDGE RD",
            "address_2": "#446",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335065",
            "telephone_number": "941-400-1901",
            "fax_number": "941-379-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "TESTERMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-400-1901",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.