NPIMap

Organization Active NPI

RLB Surgical Assisting LLC

  • Surgical Physician Assistant
  • Trinity, FL
National Provider Identifier
1720401516
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
RLB SURGICAL ASSISTING LLC
Practice address
7149 Columns Cir
Apt 102
Trinity, FL 34655-3660
Phone
(727) 494-6863
Fax
(727) 807-9758
NPI assigned
Jan 29, 2014
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mr. Roger Barnard, CSFANPI 1104257732
Title
Ceo
Phone
(727) 494-6863

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

7149 Columns Cir
Apt 102
Trinity, FL 34655-3660

Mailing address

7149 Columns Cir
Apt 102
Trinity, FL 34655-3660
Phone (727) 494-6863

National Provider Directory

National Provider Directory

Practitioners & 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": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1720401516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7149 COLUMNS CIR",
            "address_2": "APT 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346553660",
            "telephone_number": "727-494-6863",
            "fax_number": "727-807-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7149 COLUMNS CIR",
            "address_2": "APT 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346553660",
            "telephone_number": "727-494-6863",
            "fax_number": "727-807-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RLB SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-494-6863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.