Mary Underhill, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1149 Issued in VA

Practice address

3913 Morton Dr
Richmond, VA 23223-1287

Phone

(804) 239-8208

Fax

(804) 249-9132

NPI assigned

Jan 9, 2008

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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

• Surgical Assist,L.L.C.

  • Surgical Physician Assistant
  • Richmond, VA
  • NPI 1669420048
  NPD (past)

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1538344478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1041",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231111041",
            "telephone_number": "804-239-8208",
            "fax_number": "804-249-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 MORTON DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231287",
            "telephone_number": "804-239-8208",
            "fax_number": "804-249-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERHILL",
        "first_name": "MARY",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultimate Outcomes Therapeutic Services (Ultimate Outcomes Therapuetic Services)
• Ultrasound Imaging of VA, Inc.
• Gloria L. Umbach, LCSW
• Morris Edward Umphrey Jr.
• Unconditional Care & Supportive Services, Inc (UCASS, Inc)
• Thomas E Underhill, M.D.
• Christine Underwood, LCSW
• John William Unger, D.D.S.
• Unique Holistic Care LLC
• Unique Senior Care, Inc.

• Surgical Physician Assistant in Richmond, VA
• Providers in Richmond, VA by specialty
• Surgical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.