Organization Active NPI

Cutting Edge Surgical Assistants LLC

  • Surgical Physician Assistant
  • Broken Arrow, OK
National Provider Identifier
1407274160
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
89577 Issued in OK
Legal business name
CUTTING EDGE SURGICAL ASSISTANTS LLC
Practice address
1300 W Elmira PL
Broken Arrow, OK 74012-0889
Phone
(918) 810-2234
Fax
(918) 249-0004
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
Amy Elizabeth HefleyNPI 1508909854
Title
Owner
Phone
(918) 249-0004

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 89577 OK Primary

Addresses

Primary practice location

1300 W Elmira PL
Broken Arrow, OK 74012-0889

Mailing address

1300 W Elmira PL
Broken Arrow, OK 74012-0889
Phone (918) 810-2234

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": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1407274160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W ELMIRA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120889",
            "telephone_number": "918-810-2234",
            "fax_number": "918-249-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W ELMIRA PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120889",
            "telephone_number": "918-810-2234",
            "fax_number": "918-249-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "HEFLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-249-0004"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "89577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.