Genesis Surgical Assisting LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

116257 Issued in ID

Legal business name

GENESIS SURGICAL ASSISTING LLC

Practice address

348 W Bloomington Dr
Meridian, ID 83642-6942

Phone

(208) 866-8277

NPI assigned

Apr 15, 2015

Last updated

Jun 18, 2015By 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

Donald Curtis, CSFA

Title

Manager

Phone

(208) 866-8277

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Don H Curtis, CSFA

  • Surgical Physician Assistant
  • Meridian, ID
  • NPI 1982937066

  Surgical Assistant

  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1265829303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 W BLOOMINGTON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426942",
            "telephone_number": "208-866-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 W BLOOMINGTON DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426942",
            "telephone_number": "208-866-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-15",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-866-8277",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "116257",
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "ID",
            "license": "116257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gem Transport LLC
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• Amir Samir Zakhary Gendy, M.D.
• Genesis Service Dogs Inc
• Jane Gennrich, PHARMD
• Katherine Jane Gentry, M.D.
• Robert E Gentry, DC
• Geoffrey N Swanson MD PA (Ada Medical Associates)
• Kyle Ronald George, P.A.-C

• Surgical Physician Assistant in Meridian, ID
• Providers in Meridian, ID by specialty
• Surgical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.