Northshore Surgical Assisting

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

123842 Issued in LA

Legal business name

NORTHSHORE SURGICAL ASSISTING

Practice address

70458 Silas Thomas Rd
Pearl River, LA 70452-2460

Phone

(985) 707-3017

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Samantha Dickens, CSFANPI 1992031207

Title

Certified Surgical First Assistant

Phone

(985) 707-3017

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, and the practitioner matching its NPPES authorized official.

• Samantha Dickens, CSFA

  • Surgical Assistant
  • Pearl River, LA
  • NPI 1992031207
  NPD (past) Authorized official

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1427592385",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "70458 SILAS THOMAS RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-707-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70458 SILAS THOMAS RD",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704522460",
            "telephone_number": "985-707-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "DICKENS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "authorized_official_telephone_number": "985-707-3017",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "LA",
            "license": "123842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent Mancuso, PT
• Miley Meds Pharmacy LLC (Miley Meds Pharmacy)
• Clarence Clinton Miley Jr., RPH.
• Suzonne McCrory Morales, LPC
• Jeffery W. Nave, PH.D., LPC, LMFT
• Ochsner Clinic LLC (Ochsner Health Center - Pearl River)
• Terra Olivo
• Suhaskumar G Patel, R.PH
• Pearl River Pharmacy Inc.
• Pearl River RX Inc (Evans Drug Mart)

• Surgical Assistant in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.