Organization Active NPI

Capital Region Surgical Assistants LLC

  • Surgical Assistant
  • Gaithersburg, MD
National Provider Identifier
1730791104
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
CAPITAL REGION SURGICAL ASSISTANTS LLC
Practice address
903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242
Phone
(443) 910-0033
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Mr. Noah Hankerson, CSA, CSFA, LSANPI 1295249977
Title
Owner
Phone
(443) 910-0033

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 AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242

Mailing address

903 Hillside Lake Ter Apt 605
Gaithersburg, MD 20878-5242
Phone (443) 910-0033

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1730791104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 HILLSIDE LAKE TER APT 605",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785242",
            "telephone_number": "443-910-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 HILLSIDE LAKE TER APT 605",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785242",
            "telephone_number": "443-910-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION SURGICAL ASSISTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HANKERSON",
        "authorized_official_first_name": "NOAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-910-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA, CSFA,  LSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.