Square One Surgical Associates

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SQUARE ONE SURGICAL ASSOCIATES

Practice address

15524 Golden Ridge CT
Chesterfield, MO 63017-5124

Phone

(636) 346-8182

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Andrew Sheridan, CSFANPI 1710444872

Title

Csfa

Phone

(636) 346-8182

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Andrew Sheridan Other name

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: sosa@surgical.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Sheridan, CSFA

  • Surgical Physician Assistant
  • Chesterfield, MO
  • NPI 1710444872

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1366183097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15524 GOLDEN RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175124",
            "telephone_number": "636-346-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15524 GOLDEN RIDGE CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175124",
            "telephone_number": "636-346-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "636-346-8182",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1710444872",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SOSA@surgical.net",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Self",
            "address_1": "15524 Golden Ridge Ct",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630175124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Andrew Sheridan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Andrew Sheridan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Surgical Physician Assistant in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Surgical Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.