NPIMap

Organization Active NPI

Surgical Assist,L.L.C.

  • Surgical Physician Assistant
  • Richmond, VA
National Provider Identifier
1669420048
Registry record updated Jul 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
3123 Issued in VA
Legal business name
SURGICAL ASSIST,L.L.C.
Practice address
3913 Morton Dr
Richmond, VA 23223-1287
Phone
(804) 239-8208
Fax
(804) 249-9132
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2009

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

Authorized official

Name
Mr. Henry J.R. Jacobs, C.S.A.NPI 1316995038
Title
President/Ceo
Phone
(804) 239-8208

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)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 3123 VA Primary

Addresses

Primary practice location

3913 Morton Dr
Richmond, VA 23223-1287

Mailing address

PO Box 1041
Mechanicsville, VA 23111-1041
Phone (804) 239-8208

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247356800000",
    "number": "1669420048",
    "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": {
        "organization_name": "SURGICAL ASSIST,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-07-12",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "J.R.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "804-239-8208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.S.A."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; 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.