Timothy Desousa, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1316 Hearthstone Dr
Ridgeland, SC 29936-7088

Phone

(352) 585-5581

NPI assigned

Apr 14, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Low Country Surgical Assistants LLC

  • Surgical Assistant
  • Ridgeland, SC
  • NPI 1770009995
  NPD Authorized official

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1518386945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1460",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299271460",
            "telephone_number": "352-585-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 HEARTHSTONE DR",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299367088",
            "telephone_number": "352-585-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUSA",
        "first_name": "TIMOTHY",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Davenport
• Lindsay Davies, LPC
• Monica Denise Dawson, DDS
• Morgan Delaplane, MT
• Fritz Delerme
• Leigh Diotalevi, LISW-CP
• Emelia Laine Dixon
• Earl Bostick,Sr. D.M.D.
• East Coast Isotopes
• Josieann Mauro Eccles, PA

• Surgical Assistant in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Surgical Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.