Superior Surgical Associates LLC

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SUPERIOR SURGICAL ASSOCIATES LLC

Practice address

14141 Azalea Park Ave Apt C
Baton Rouge, LA 70816-1674

Phone

(573) 410-2908

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By 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

Karen Lynn Basham, CSFANPI 1043858509

Title

Managing Partner

Phone

(573) 410-2908

Specialties & licenses 2

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.

• Karen Lynn Basham, CSFA, CST, CRCST

  • Surgical Assistant
  • Baton Rouge, LA
  • NPI 1043858509
  NPD Authorized official

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1528606084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14141 AZALEA PARK AVE APT C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161674",
            "telephone_number": "573-410-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14141 AZALEA PARK AVE APT C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161674",
            "telephone_number": "573-410-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "BASHAM",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "573-410-2908",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Surgical Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.