Premier Surgical Assisting LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PREMIER SURGICAL ASSISTING LLC

Practice address

4602 E Seneca St
Tucson, AZ 85712-3272

Phone

(208) 241-0558

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Macy Jepsen, SA-CNPI 1083345730

Title

President

Phone

(208) 241-0558

Specialties & licenses 1

Addresses

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.

• Macy Jepsen, SA-C

  • Surgical Physician Assistant
  • Tucson, AZ
  • NPI 1083345730
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1518692250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 E SENECA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123272",
            "telephone_number": "208-241-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 E SENECA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123272",
            "telephone_number": "208-241-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4602 E Seneca St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857123272",
            "country_code": "US",
            "telephone_number": "208-241-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "JEPSEN",
        "authorized_official_first_name": "MACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-241-0558",
        "authorized_official_credential": "SA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier First Assist, LLC
• Premier HHC Agency LLC
• Premier Home Care of Southern Arizona, Inc. (Homewatch CareGivers of Tucson)
• Premier Pediatrics LLC
• Premier Surgery Center of Tucson (Premier Surgery Center of Tucson LP)
• Premier Transport Services LLC
• Premier Transport Services LLC
• Premier Wound RX LLC
• Premise Health of Arizona Medical PC (TEP - Tucson)
• Present Hope Therapy

• Surgical Physician Assistant in Tucson, AZ
• Providers in Tucson, 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 Jul 18, 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.