R.B. Surgical Assistants

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA044 Issued in KY

Legal business name

R.B. SURGICAL ASSISTANTS

Practice address

320 Skyview Dr
Paris, KY 40361-1039

Phone

(859) 514-6675

Fax

(859) 514-5962

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By 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

Robert L Boden, CSANPI 1255463196

Title

Owner

Phone

(502) 747-5632

Specialties & licenses 1

Addresses

Other identifiers 5

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.

• Robert Louis Boden, CSA

  • Surgical Physician Assistant
  • Paris, KY
  • NPI 1255463196
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144433145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5327",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403625327",
            "telephone_number": "859-514-6675",
            "fax_number": "859-514-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SKYVIEW DR",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403611039",
            "telephone_number": "859-514-6675",
            "fax_number": "859-514-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.B. SURGICAL ASSISTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-747-5632",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "SA044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000208713",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS FAMILY HEALTH",
            "identifier": "20751",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "49-00060",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "1186178",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7476361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ingeborg G Petit, MSN, CS, ARNP
• Alison Leigh Petras, D.O.
• Jessica Price
• Scott Price, D.M.D.
• Primary Health Associates, PSC
• Ashley D Ramey
• Annabel Lee Rawlins, M.A. ED., CCC-SLP
• Sonya Richey
• Emily Rae Roberts, SLP
• Wanda Roberts

• Surgical Technologist in Paris, KY
• Providers in Paris, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.