Prime Time Surgical Assisting and Consulting LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PRIME TIME SURGICAL ASSISTING AND CONSULTING LLC

Practice address

14231 E 1St Dr Unit 203
Aurora, CO 80011-3818

Phone

(720) 955-0456

NPI assigned

Mar 10, 2023

Organization subpart

No

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

Authorized official

Name

Mr. William Jarel Grant, CST, LSANPI 1407592215

Title

Owner

Phone

(720) 955-0456

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.

• William Jarel Grant, SURGICAL ASSISTANT

  • Surgical Physician Assistant
  • Aurora, CO
  • NPI 1407592215

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684022400000",
    "number": "1124729785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440216",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800440216",
            "telephone_number": "720-955-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 E 1ST DR UNIT 203",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800113818",
            "telephone_number": "720-955-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME TIME SURGICAL ASSISTING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAREL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-955-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CST, LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Prill
• Primary Care Medicine
• Anna Marie Primavera
• Prime Community Care, LLC
• Prime Time Home Care LLC
• Blake Mitchell Primi, M.D.
• Joan Irene Primozich, FNPC
• Abigail S Prince, MA
• Kaori Prine, M.A., LPC
• Harold Prioleau

• Surgical Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.