NPIMap

Organization Active NPI

Tri-State Surgical Assistants, LLC

  • Specialist
  • Rockville, MD
National Provider Identifier
1265423016
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRI-STATE SURGICAL ASSISTANTS, LLC
Practice address
1 Research CT
Suite 450
Rockville, MD 20850-3221
Phone
(240) 403-4067
Fax
(301) 519-8001
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Mr. James Paul Flagg II, CSA
Title
President
Phone
(240) 403-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1 Research CT
Suite 450
Rockville, MD 20850-3221

Mailing address

1 Research CT
Suite 450
Rockville, MD 20850-3221
Phone (240) 403-4067

Other names 1

  • TSSA Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1265423016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RESEARCH CT",
            "address_2": "SUITE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503221",
            "telephone_number": "240-403-4067",
            "fax_number": "301-519-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESEARCH CT",
            "address_2": "SUITE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503221",
            "telephone_number": "240-403-4067",
            "fax_number": "301-519-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE SURGICAL ASSISTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "FLAGG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-403-4067",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TSSA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.