Eric Irby, CERT. FIRST ASSIST

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

CSA 2852 CERTIFICATE Issued in GA

Practice address

859 Ector Chase NW
Kennesaw, GA 30152-4788

Phone

(770) 614-4177

Fax

(770) 427-6396

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgical 1St, Inc.

  • Medical-Surgical Registered Nurse
  • Kennesaw, GA
  • NPI 1306895362
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053463174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3235",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300613235",
            "telephone_number": "770-614-4711",
            "fax_number": "770-427-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 ECTOR CHASE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524788",
            "telephone_number": "770-614-4177",
            "fax_number": "770-427-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRBY",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "CERT. FIRST ASSIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "GA",
            "license": "CSA 2852 CERTIFICATE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "582625656",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innovative Behavior Options
• Innovative Therapy Works LLC.
• Iora Health Georgia, P.C. (One Medical)
• Iora Senior Health, LLC (One Medical)
• Cyrus K Irani, M.D
• Jetoria Irving
• Maha Islam
• Lindsey Isley
• Madison Margaret Iuliano, DC
• J Marseille Management, Inc. (Physicians Choice Rejuvenation Center)

• Surgical Technologist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Surgical Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.