F&G American Surgical Assistants Services LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

F&G AMERICAN SURGICAL ASSISTANTS SERVICES LLC

Practice address

1625 S Kirkman Rd Apt 9204
Orlando, FL 32811-2579

Phone

(407) 926-0010

Fax

(407) 395-2587

NPI assigned

Sep 16, 2019

Last updated

Apr 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Johans Fernandez, SA-CNPI 1891245338

Title

MGR/Ambr

Phone

(407) 755-9495

Specialties & licenses 1

Addresses

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.

• Johans Fernandez, SA-C.

  • Student in an Organized Health Care Education/Training Program
  • Ponce, PR
  • NPI 1891245338

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1124678602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S KIRKMAN RD APT 9204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112579",
            "telephone_number": "407-755-9495",
            "fax_number": "407-395-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S KIRKMAN RD APT 9204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112579",
            "telephone_number": "407-926-0010",
            "fax_number": "407-395-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F&G AMERICAN SURGICAL ASSISTANTS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "JOHANS",
        "authorized_official_title_or_position": "MGR/AMBR",
        "authorized_official_telephone_number": "407-755-9495",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.