Organization Active NPI

A B a R Surgical Assist

  • Surgical Physician Assistant
  • East Point, GA
National Provider Identifier
1457570632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
A B A R SURGICAL ASSIST
Practice address
3645 Marketplace Blvd
Ste 130 214
East Point, GA 30344-5747
Phone
(770) 985-4257
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Azzaam Rashid
Title
Owner
Phone
(770) 985-4257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

3645 Marketplace Blvd
Ste 130 214
East Point, GA 30344-5747

Mailing address

3645 Marketplace Blvd
Ste 130 214
East Point, GA 30344-5747

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457570632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "STE 130 214",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 MARKETPLACE BLVD",
            "address_2": "STE 130 214",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445747",
            "telephone_number": "770-985-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A B A R SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "AZZAAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-985-4257"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.