Stat Surgical First Assisting

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

STAT SURGICAL FIRST ASSISTING

Practice address

1581 SW Bayshore Blvd
Port St Lucie, FL 34983

Phone

(561) 603-7564

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Ramos, CSFANPI 1033565650

Title

Owner

Phone

(561) 603-7564

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.

• Jennifer J Ramos, CSFA

  • Surgical Physician Assistant
  • Port St Lucie, FL
  • NPI 1033565650
  NPD (past) Authorized official

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1396294419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 SW BAYSHORE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349832967",
            "telephone_number": "561-603-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 SW BAYSHORE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "561-603-7564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3461 Fairlane Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334148752",
            "country_code": "US",
            "telephone_number": "561-766-1300 x1147",
            "fax_number": "561-693-0539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STAT SURGICAL FIRST ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-603-7564",
        "authorized_official_name_prefix": "Ms.",
        "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": []
}

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• Surgical Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, 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 20, 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.