Organization Active NPI

East Coast Surgical Specialties

  • Surgical Assistant
  • Vero Beach, FL
National Provider Identifier
1356689731
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
EAST COAST SURGICAL SPECIALTIES
Practice address
787 37TH St
Suite E170
Vero Beach, FL 32960-7305
Phone
(561) 244-9529
Fax
(561) 244-1929
NPI assigned
Jan 20, 2013
Last updated
Aug 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Mr. Ty Scrivens, SFA
Title
President
Phone
(561) 244-9529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

787 37TH St
Suite E170
Vero Beach, FL 32960-7305

Mailing address

787 37TH St
Suite E170
Vero Beach, FL 32960-7305
Phone (561) 244-9529

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1356689731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "SUITE E170",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "561-244-9529",
            "fax_number": "561-244-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST",
            "address_2": "SUITE E170",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607305",
            "telephone_number": "561-244-9529",
            "fax_number": "561-244-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST SURGICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-20",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "SCRIVENS",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-244-9529",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.