Maine Surgical Assistants, PC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

94035 Issued in ME

Legal business name

MAINE SURGICAL ASSISTANTS, PC

Practice address

37 Whittier Lane
Casco, ME 04015-0343

Phone

(207) 415-0445

Fax

(207) 627-6024

NPI assigned

Jan 25, 2007

Organization subpart

No

Name

Christina Jean Jordan, CFA

Title

Owner

Phone

(207) 415-0445

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154477222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040150343",
            "telephone_number": "207-415-0445",
            "fax_number": "207-627-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WHITTIER LANE",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040150343",
            "telephone_number": "207-415-0445",
            "fax_number": "207-627-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINE SURGICAL ASSISTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-415-0445",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "ME",
            "license": "94035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1083763858",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Casco, ME
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• 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.