Southpointe Surgical Assist, L.L.C.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SOUTHPOINTE SURGICAL ASSIST, L.L.C.

Practice address

6436 Southpointe Ridge Dr
Anchorage, AK 99516-6219

Phone

(907) 331-8551

NPI assigned

Jul 7, 2016

Last updated

Feb 6, 2017By 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

Mr. William Crabtree Sr.

Title

Managing Member

Phone

(907) 331-8551

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1689026247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6436 SOUTHPOINTE RIDGE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166219",
            "telephone_number": "907-331-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6436 SOUTHPOINTE RIDGE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995166219",
            "telephone_number": "907-331-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPOINTE SURGICAL ASSIST, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "CRABTREE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "907-331-8551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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 Anchorage, AK
• Providers in Anchorage, AK by specialty
• Surgical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.