NPIMap

Organization Active NPI

Shah Surgical Assisting,LLC

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1366937237
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SHAH SURGICAL ASSISTING,LLC
Practice address
6455 E Nelson Dr
Tucson, AZ 85730
Phone
(520) 282-1210
NPI assigned
Jun 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Mr. Mukesh N Shah, CSFANPI 1619287620
Title
Surgical First Assistant
Phone
(520) 282-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

6455 E Nelson Dr
Tucson, AZ 85730

Mailing address

6455 E Nelson Dr
Tucson, AZ 85730-3610
Phone (520) 282-1210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1366937237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 E NELSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857303610",
            "telephone_number": "520-282-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 E NELSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-282-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH SURGICAL ASSISTING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "520-282-1210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.