Active NPI
Advanced Surgical Assisting, LLC
- Surgery Physician
- Tulsa, OK
National Provider Identifier
1730702127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVANCED SURGICAL ASSISTING, LLC
- Practice address
- 4012 E 108TH St
Tulsa, OK 74137-6707 - Phone
- (918) 812-1200
- NPI assigned
- May 20, 2020
- Last updated
- May 20, 2020
- 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
- Samantha Nicole Kuplicki, APRN-CNS, AGCNS-BC
- Title
- Owner
- Phone
- (918) 812-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
4012 E 108TH St
Tulsa, OK 74137-6707
Mailing address
4012 E 108TH St
Tulsa, OK 74137-6707
Phone (918) 812-1200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589932800000",
"number": "1730702127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4012 E 108TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741376707",
"telephone_number": "918-812-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4012 E 108TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741376707",
"telephone_number": "918-812-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL ASSISTING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A",
"authorized_official_last_name": "KUPLICKI",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-812-1200",
"authorized_official_credential": "APRN-CNS, AGCNS-BC"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.