JLG Surgical, PLLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

JLG SURGICAL, PLLC

Practice address

855 E. Lowell Ave.
Gilbert, AZ 85295-6271

Phone

(480) 834-6810

Fax

(480) 834-6810

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Jose Luis Guzman, CSFA

Title

Statutory Agent

Phone

(480) 834-6810

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1093477655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E. LOWELL AVE.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956271",
            "telephone_number": "480-834-6810",
            "fax_number": "480-834-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E. LOWELL AVE.",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956271",
            "telephone_number": "480-834-6810",
            "fax_number": "480-834-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JLG SURGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "480-834-6810",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Surgical Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.