Surgical Assisting by Carmen

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SURGICAL ASSISTING BY CARMEN

Practice address

2095 Highway 211 NW # 147-2F
Braselton, GA 30517-3402

Phone

(678) 789-3057

NPI assigned

Jan 31, 2017

Organization subpart

No

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

Authorized official

Name

Carmen WaughNPI 1275087462

Title

Csfa

Phone

(678) 789-3057

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carmen Waugh, CSA

  • Surgical Assistant
  • Braselton, GA
  • NPI 1275087462
  NPD (past) Authorized official

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1679010458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY 211 NW # 147-2F",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173402",
            "telephone_number": "678-789-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 HIGHWAY 211 NW # 147-2F",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305173402",
            "telephone_number": "678-789-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSISTING BY CARMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CSFA",
        "authorized_official_telephone_number": "678-789-3057"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Stoutenburg, LPC
• Hannah Strong
• Andrea Jae Sudderth, HAD
• Crystal Suits, SA-C
• Maria Sulbaran, IBCLC
• Reza H Sutandi, MD
• Andrew L Tam, DDS
• Rana Zouveenoor Tariq, M.D
• Uday K Tata, M.D.
• Mulualem Yigzaw Teferi, M.D.

• Surgical Assistant in Braselton, GA
• Providers in Braselton, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.