NPIMap

Organization Active NPI

Suncoast Surgical Assisting Associates, Inc.

  • Physician Assistant
  • Spring Hill, FL
National Provider Identifier
1447211925
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
20050027523 Issued in FL
Legal business name
SUNCOAST SURGICAL ASSISTING ASSOCIATES, INC.
Practice address
8303 Blanton Street
Spring Hill, FL 34606
Phone
(352) 686-3154
Fax
(352) 688-2751
NPI assigned
Apr 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. Louis R Renshaw Jr., PANPI 1346201829
Title
Owner
Phone
(352) 686-3154

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
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 20050027523 FL Primary

Addresses

Primary practice location

8303 Blanton Street
Spring Hill, FL 34606

Mailing address

8303 Blanton Street
Spring Hill, FL 34606
Phone (352) 686-3154

Other identifiers 3

IdentifierTypeStateIssuer
DB6982OtherRAILROAD MEDICARE
N0997OtherWELL CARE
X1587OtherBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1143849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1447211925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8303 BLANTON STREET",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-686-3154",
            "fax_number": "352-688-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8303 BLANTON STREET",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "34606",
            "telephone_number": "352-686-3154",
            "fax_number": "352-688-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST SURGICAL ASSISTING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-01",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "RENSHAW",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-686-3154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "20050027523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6982",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE",
            "identifier": "N0997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X1587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.