Organization Active NPI

Surgical Health Solutions

  • Surgical Physician Assistant
  • Port Saint Lucie, FL
National Provider Identifier
1093281693
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGICAL HEALTH SOLUTIONS
Practice address
5389 NW Thyer Cir
Port Saint Lucie, FL 34983-3329
Phone
(772) 204-5412
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Mr. David Milton Lurry IV, CSFANPI 1457859886
Title
Manager
Phone
(772) 204-5412

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

5389 NW Thyer Cir
Port Saint Lucie, FL 34983-3329

Mailing address

5389 NW Thyer Cir
Port Saint Lucie, FL 34983-3329
Phone (772) 204-5412

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": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1093281693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 NW THYER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833329",
            "telephone_number": "772-204-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 NW THYER CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349833329",
            "telephone_number": "772-204-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "LURRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "772-204-5412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.