James Kent Straub, PA- BOARD ELIGIBLE

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

14909 Orchard Grove Dr
Midlothian, VA 23112-2397

Phone

(804) 878-1126

Fax

(804) 818-3177

NPI assigned

May 3, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1477089928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14909 ORCHARD GROVE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122397",
            "telephone_number": "804-878-1126",
            "fax_number": "804-818-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14909 ORCHARD GROVE DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122397",
            "telephone_number": "804-878-1126",
            "fax_number": "804-818-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "JAMES",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "credential": "PA- BOARD ELIGIBLE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.