Access Surgical Assistants, Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA00885 Issued in OR

Legal business name

ACCESS SURGICAL ASSISTANTS, INC

Practice address

66599 Quail Rd
North Bend, OR 97459-9491

Phone

(541) 290-9639

Fax

(541) 751-0739

NPI assigned

Oct 6, 2006

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Aldo J Piovesan, PA-C

Title

Owner

Phone

(541) 290-9639

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1215024484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66599 QUAIL RD",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974599491",
            "telephone_number": "541-290-9639",
            "fax_number": "541-751-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66599 QUAIL RD",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974599491",
            "telephone_number": "541-290-9639",
            "fax_number": "541-751-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS SURGICAL ASSISTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "PIOVESAN",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-290-9639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA00885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Abrahamsen, PHARMD
• Ross Michael Acker, LPC, QMHP
• Sarah Lynne Acuna
• Andrew Edwin Adams, RPH
• Laura M Adams, MS
• Adapt

• Surgical Physician Assistant in North Bend, OR
• Providers in North Bend, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.