Kej Surgical Services LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

16-399 Issued in GA

Legal business name

KEJ SURGICAL SERVICES LLC

Practice address

2770 Holly Ridge Cir
Marietta, GA 30062-4602

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Jan 26, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Michael E Johnson, SAC

Title

Owner

Phone

(214) 227-2457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1235676495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670132",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660119",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 HOLLY RIDGE CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624602",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEJ SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-227-2457",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SAC"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "16-399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeping You at Home
• Eileen Dillon Keeton, D.C.
• Kimberly Dawn Keibler-Gatien, DC
• Richard Paul Keim Jr., DDS
• Brandee Keiss
• Graham A Kellams, DMD
• Michael S. Kelleher, PA-C
• Ann Keller
• Moira Keller, LCSW
• Patricia Kreidler Keller, LPC

• Surgical Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.