Eastern Surgical Assistants, LLC
Organization Active NPI Surgical Physician Assistant · Bonner Springs, KS
NPI 1053446708 · NPPES record last updated Aug 27, 2012
Key facts
- NPI
- 1053446708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- 06-265 (MD)
- Legal business name
- EASTERN SURGICAL ASSISTANTS, LLC
- Practice address
- 16427 Metro Ave
Bonner Springs, KS 66012-7108 - Phone
- (240) 602-3922
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew Burnett, SA-C
- Title
- Surgical Assistant - Certified
- Phone
- (240) 602-3922
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | 06-265 | MD | Yes |
Addresses
Primary practice location
16427 Metro Ave
Bonner Springs, KS 66012-7108
Mailing address
PO Box 587
Basehor, KS 66007-0587
Other providers in Bonner Springs, KS
- Jairo Angel Diaz
- Elizabeth Doty
- Dr Hartman & Associates Dentistry, P.a.
- Thomas A Drake
- Corey Dunn
- Jeffrey L Elmer
- Trevor Lee Elmer
- Family Eyecare Center of Bonner Springs LLC
- Florence Fang
- Ketzaly Franco-Acevedo
All providers in Bonner Springs, KS · Surgical Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.