Premier Surgical First Assistant LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

PREMIER SURGICAL FIRST ASSISTANT LLC

Practice address

15242 W 82ND Ter
Lenexa, KS 66219-1501

Phone

(913) 541-1228

Fax

(913) 439-1942

NPI assigned

Jul 10, 2007

Organization subpart

No

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

Authorized official

Name

Mark L Chance, FANPI 1750587234

Title

President

Phone

(913) 541-1228

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark L Chance, FA

  • Surgical Technologist
  • Lenexa, KS
  • NPI 1750587234
  NPD (past) Authorized official

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1194923342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15242 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191501",
            "telephone_number": "913-541-1228",
            "fax_number": "913-439-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15242 W 82ND TER",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191501",
            "telephone_number": "913-541-1228",
            "fax_number": "913-439-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL FIRST ASSISTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-541-1228",
        "authorized_official_credential": "FA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Surgical Technologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.