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

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

Christina Jean Jordan, CFA

Title

Owner

Phone

(207) 415-0445

Specialties & licenses 1

Addresses

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Casco, ME
• Providers in Casco, ME by specialty
• Surgical Technologist in Maine

• 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.