Sure Care Surgical First Assistance, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

92480 Issued in KY

Legal business name

SURE CARE SURGICAL FIRST ASSISTANCE, LLC

Practice address

4119 Browns LN
Ste 2B
Louisville, KY 40220-1500

Phone

(502) 454-7766

Fax

(502) 451-9291

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

James Hatcher, CFA

Title

Owner

Phone

(502) 384-3040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316155740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 TIMBERBROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233507",
            "telephone_number": "502-384-3040",
            "fax_number": "502-384-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 BROWNS LN",
            "address_2": "STE 2B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201500",
            "telephone_number": "502-454-7766",
            "fax_number": "502-451-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURE CARE SURGICAL FIRST ASSISTANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-384-3040",
        "authorized_official_credential": "CFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "92480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000351525",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.