Active NPI
R & L Surgical Services
- Surgical Physician Assistant
- Depauw, IN
National Provider Identifier
1629761119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- R & L SURGICAL SERVICES
- Practice address
- 10081 Fredericksburg Rd NW
Depauw, IN 47115-8629 - Phone
- (812) 705-4174
- NPI assigned
- May 31, 2023
- Last updated
- May 31, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Lou Beauchamp, PA
- Title
- Owner
- Phone
- (812) 705-4174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
10081 Fredericksburg Rd NW
Depauw, IN 47115-8629
Mailing address
10081 Fredericksburg Rd NW
Depauw, IN 47115-8629
Phone (812) 705-4174
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1629761119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10081 FREDERICKSBURG RD NW",
"city": "DEPAUW",
"state": "IN",
"postal_code": "471158629",
"telephone_number": "812-705-4174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10081 FREDERICKSBURG RD NW",
"city": "DEPAUW",
"state": "IN",
"postal_code": "471158629",
"telephone_number": "812-705-4174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R & L SURGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "BEAUCHAMP",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "LOU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-705-4174",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Depauw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.