Organization Active NPI

GM Surgical Associates

  • Registered Nurse First Assistant
  • Daytona Beach, FL
National Provider Identifier
1407261761
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN9287320 Issued in FL
Legal business name
GM SURGICAL ASSOCIATES
Practice address
120 Tuscany Bend St
Daytona Beach, FL 32117-5545
Phone
(386) 283-5668
Fax
(386) 283-5670
NPI assigned
Jun 25, 2014
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Jason Cavanaugh
Title
Billing Manager
Phone
(386) 283-5668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN9287320 FL Primary

Addresses

Primary practice location

120 Tuscany Bend St
Daytona Beach, FL 32117-5545

Mailing address

120 Tuscany Bend St
Daytona Beach, FL 32117-5545
Phone (386) 283-5668

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1407261761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TUSCANY BEND ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175545",
            "telephone_number": "386-283-5668",
            "fax_number": "386-283-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TUSCANY BEND ST",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175545",
            "telephone_number": "386-283-5668",
            "fax_number": "386-283-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "386-283-5668"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "FL",
            "license": "RN9287320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.