Amelia Surgical Assistants LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

AMELIA SURGICAL ASSISTANTS LLC

Practice address

9715 Medical Center Dr Ste 528
Rockville, MD 20850-3352

Phone

(301) 424-1960

Fax

(301) 424-1961

NPI assigned

May 30, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Steven Tovar Eureste, C-SA

Title

Ceo/President

Phone

(301) 424-1960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1285995837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 528",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503352",
            "telephone_number": "301-424-1960",
            "fax_number": "301-424-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9715 MEDICAL CENTER DR STE 528",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503352",
            "telephone_number": "301-424-1960",
            "fax_number": "301-424-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "EURESTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "TOVAR",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "301-424-1960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C-SA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Rockville, MD
• Providers in Rockville, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.