GSP Surgical Assistants, Inc

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

P04000127074 Issued in FL

Legal business name

GSP SURGICAL ASSISTANTS, INC

Practice address

5682 Bentgrass Dr
Unit 212
Sarasota, FL 34235-7643

Phone

(941) 914-6610

Fax

(941) 866-8121

NPI assigned

Oct 25, 2007

Last updated

Jun 22, 2012By 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

Mr. Alexis Sockwell, PA-CNPI 1023092913

Title

President

Phone

(941) 914-6610

Specialties & licenses 1

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.

• Alexis Taqwan Sockwell, PA-C

  • Surgical Physician Assistant
  • Sarasota, FL
  • NPI 1023092913
  NPD (past) Authorized official

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1356520407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50922",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342320307",
            "telephone_number": "941-914-6610",
            "fax_number": "941-866-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5682 BENTGRASS DR",
            "address_2": "UNIT 212",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342357643",
            "telephone_number": "941-914-6610",
            "fax_number": "941-866-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSP SURGICAL ASSISTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "SOCKWELL",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-914-6610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "P04000127074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Gruenewald, LMT
• Agnieszka M Gruszecka, LMT
• Damian Grycel
• Kateryna Grytsenko, DDS
• Terrence Brian Grywinski, LICENSED MASSAGE THE
• GT Spiritual Enterprises, Inc. (d/b/a ZEN Body-ZEN Health and Asian Tea Room)
• Robert John Guagenti, PHARM.D.
• Joshua Guaita, FNP-C
• Elizabeth A. Guancial, MD
• Maria Guardado

• Surgical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Surgical Physician Assistant in Florida

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