Am Surgical Assist

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

AM SURGICAL ASSIST

Practice address

273 Hollywood Dr
Metairie, LA 70005-3919

Phone

(504) 905-7456

NPI assigned

Apr 26, 2016

Last updated

Jun 23, 2020By 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

Amy Mautner, CSFANPI 1760822589

Title

Surgical Assistant

Phone

(504) 905-7456

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.

• Amy Lynn Mautner, CSFA

  • Surgical Physician Assistant
  • Metairie, LA
  • NPI 1760822589

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1619322781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 HOLLYWOOD DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053919",
            "telephone_number": "504-905-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 HOLLYWOOD DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053919",
            "telephone_number": "504-905-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AM SURGICAL ASSIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MAUTNER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "504-905-7456",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Metairie, LA
• Providers in Metairie, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.