Dilorenzo Surgical Assisting

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

DILORENZO SURGICAL ASSISTING

Practice address

694 Saddle Cir
Waycross, GA 31503-7930

Phone

(912) 337-7789

NPI assigned

Feb 22, 2021

Last updated

Jan 4, 2022By 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

Penny Dilorenzo, CSFANPI 1952992547

Title

Owner

Phone

(912) 337-7789

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Penny Marie Dilorenzo, CSFA

  • Surgical Physician Assistant
  • Waycross, GA
  • NPI 1952992547
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1770177651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 SADDLE CIR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037930",
            "telephone_number": "912-337-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 SADDLE CIR",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315037930",
            "telephone_number": "912-337-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILORENZO SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "DILORENZO",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-337-7789",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "surgicaltech@satillafootandankle.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "545 Knight Ave",
            "city": "Waycross",
            "state": "GA",
            "country_code": "US",
            "postal_code": "315013354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Raulersons Home Medical Equipment (A Plus Home Oxygen & Medical Equipment)
• Michelle Elise Dibiase, D.C.
• Jennifer Ann Dieu, ARNP, PMHNP
• Digestive Disease Consultants, P.C.
• Lakshmi Digumarthi, MD
• Penny Marie Dilorenzo, CSFA
• Diversified Resources, Inc.
• Doctors' Office MD PC
• Donald a. Bethea, D.D.S., L.L.C.
• Donnel Cross Host Home

• Surgical Physician Assistant in Waycross, GA
• Providers in Waycross, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.