NPIMap

Organization Active NPI

Healthcare Surgical Assisting LLC

  • Surgical Physician Assistant
  • Leesburg, VA
National Provider Identifier
1053722173
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA0078 Issued in DC
Legal business name
HEALTHCARE SURGICAL ASSISTING LLC
Practice address
704 Clark CT NE Apt 204
Leesburg, VA 20176-4708
Phone
(571) 577-0361
NPI assigned
May 12, 2014
Last updated
May 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Authorized official

Name
John-Claude Dela Croix Kass, SURGICAL ASSISTANTNPI 1588918270
Title
Licensed Certified Surgical Assista
Phone
(571) 577-0361

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
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X SA0078 DC Primary

Addresses

Primary practice location

704 Clark CT NE Apt 204
Leesburg, VA 20176-4708

Mailing address

704 Clark CT NE 204
Leesburg, VA 20176

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": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1053722173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CLARK CT NE 204",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CLARK CT NE APT 204",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764708",
            "telephone_number": "571-577-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "JOHN-CLAUDE",
        "authorized_official_middle_name": "DELA CROIX",
        "authorized_official_title_or_position": "LICENSED CERTIFIED SURGICAL ASSISTA",
        "authorized_official_telephone_number": "571-577-0361",
        "authorized_official_credential": "SURGICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "DC",
            "license": "SA0078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.