Active NPI
Surgassist, LLC
- Nurse Practitioner
- O Fallon, MO
National Provider Identifier
1194259275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- SURGASSIST, LLC
- Practice address
- 263 Fairway Green Dr
O Fallon, MO 63368-4271 - Phone
- (636) 542-1199
- Fax
- (636) 594-2022
- NPI assigned
- Apr 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Holly Michelle Strassner, RN,MSN,AGNP,CRNFA
- Title
- Owner
- Phone
- (636) 542-1199
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2017006743 | MO | |
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
263 Fairway Green Dr
O Fallon, MO 63368-4271
Mailing address
263 Fairway Green Dr
O Fallon, MO 63368-4271
Phone (636) 542-1199
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676332800000",
"number": "1194259275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FAIRWAY GREEN DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684271",
"telephone_number": "636-542-1199",
"fax_number": "636-594-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 FAIRWAY GREEN DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633684271",
"telephone_number": "636-542-1199",
"fax_number": "636-594-2022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGASSIST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-17",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A",
"authorized_official_last_name": "STRASSNER",
"authorized_official_first_name": "HOLLY",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-542-1199",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN,MSN,AGNP,CRNFA"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2017006743",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.