Molly Roberson Comprehensive Surgical Assistance PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

MOLLY ROBERSON COMPREHENSIVE SURGICAL ASSISTANCE PLLC

Doing business as

Comprehensive Surgical Assistance, PLLC

Practice address

1064 Eastern Pkwy
Louisville, KY 40217-1532

Phone

(502) 489-4325

NPI assigned

Sep 11, 2018

Last updated

Nov 5, 2018By 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

Mrs. Molly A Roberson, PA-C

Title

Physician Assistant/Owner

Phone

(502) 489-4325

Specialties & licenses 2

Addresses

Other names 1

• Comprehensive Surgical Assistance, PLLC Doing business as

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1770066292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171532",
            "telephone_number": "502-489-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 EASTERN PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171532",
            "telephone_number": "502-489-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY ROBERSON COMPREHENSIVE SURGICAL ASSISTANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
        "authorized_official_telephone_number": "502-489-4325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Surgical Assistance, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Surgical Assistance, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kali Moller, PHARMD
• Molloy G. Veal MD PSC
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• Melissa A Monaghan
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• Surgical Physician Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Surgical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.