Certified Surgical First Assistant

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

CERTIFIED SURGICAL FIRST ASSISTANT

Practice address

2925 E Riggs Rd
Ste 8-166
Chandler, AZ 85249-3600

Phone

(480) 545-2610

Fax

(480) 545-2673

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen E BagwellNPI 1952364333

Title

General Manager

Phone

(480) 545-2610

Specialties & licenses 2

Addresses

Locations

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.

• Kathleen E Bagwell, CSFA

  • Surgical Assistant
  • Chandler, AZ
  • NPI 1952364333
  NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1457714388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "STE 8-166",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "602-909-4623",
            "fax_number": "480-545-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD",
            "address_2": "STE 8-166",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493600",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERTIFIED SURGICAL FIRST ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BAGWELL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "480-545-2610"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America- Arizona, PC
• Darby Shea Cerbo, NP
• Kristin Renee Cerni, O.D.
• Molly M Cerniglia, PA
• Eric Karl Cerre, NMD
• Hector Cervantes Jr.
• Michelle Cesa, RD
• CGG Behavior Health Services LLC
• Miguel Chaar, OD
• Yoginder Chabra, MD

• Surgical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.