NPIMap

Organization Active NPI

Beach Surgical Assistants of VA, LLC

  • Surgical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1205443876
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
BEACH SURGICAL ASSISTANTS OF VA, LLC
Practice address
2233 Elder Rd
Virginia Beach, VA 23451-1105
Phone
(757) 343-4735
NPI assigned
Sep 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Mrs. Deborah Redmond, CSANPI 1356456677
Title
Surgical Assistant, Owner
Phone
(757) 343-4735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Ambulatory Surgical Clinic/Center 261QA1903X
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

2233 Elder Rd
Virginia Beach, VA 23451-1105

Mailing address

2233 Elder Rd
Virginia Beach, VA 23451-1105
Phone (757) 343-4735

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1205443876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ELDER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511105",
            "telephone_number": "757-343-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ELDER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511105",
            "telephone_number": "757-343-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH SURGICAL ASSISTANTS OF VA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT, OWNER",
        "authorized_official_telephone_number": "757-343-4735",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.