NPIMap

Organization Active NPI

Delmarva Surgical Assistants, LLC

  • Family Nurse Practitioner
  • Easton, MD
National Provider Identifier
1154601847
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R172165 Issued in MD
Legal business name
DELMARVA SURGICAL ASSISTANTS, LLC
Practice address
8837 Roundhouse Cir
Easton, MD 21601-7903
Phone
(443) 362-0155
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Lisette Vazquez, NP
Title
Owner, President
Phone
(443) 362-0155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0705X R172165 MD
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X R172165 MD Primary

Addresses

Primary practice location

8837 Roundhouse Cir
Easton, MD 21601-7903

Mailing address

8837 Roundhouse Cir
Easton, MD 21601-7903
Phone (443) 362-0155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1154601847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 ROUNDHOUSE CIR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017903",
            "telephone_number": "443-362-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8837 ROUNDHOUSE CIR",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017903",
            "telephone_number": "443-362-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMARVA SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "443-362-0155",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MD",
            "license": "R172165",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R172165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.