PA Staffing LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2012008459 Issued in MO

Legal business name

PA STAFFING LLC

Practice address

408 Ballwin Ave
Ballwin, MO 63021-5213

Phone

(314) 608-9438

NPI assigned

Nov 6, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Jason Grassino, PA-C

Title

Owner

Phone

(314) 608-9438

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1205232915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 BALLWIN AVE",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215213",
            "telephone_number": "314-608-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 BALLWIN AVE",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630215213",
            "telephone_number": "314-608-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "GRASSINO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-608-9438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2012008459",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2012008459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Physician Assistant in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Medical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.