East End Surgical Assistants, PLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

29817 Issued in KY

Legal business name

EAST END SURGICAL ASSISTANTS, PLC

Practice address

2069 Douglass Blvd
Louisville, KY 40205-1927

Phone

(502) 551-9174

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Maureen Elizabeth Marra, M.D.

Title

Owner

Phone

(502) 551-9174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1770779340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5450",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402550450",
            "telephone_number": "502-551-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2069 DOUGLASS BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051927",
            "telephone_number": "502-551-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END SURGICAL ASSISTANTS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-551-9174",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "29817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East End Psychological Associates
• East Louisville Counseling, PLLC
• East Louisville Dental Group
• East Louisville Dermatology, PSC
• East Louisville Inpatient Medicine, PLLC
• East Louisville Interventional Pain Specialists PLLC (Elips Scripts)

• Obstetrics & Gynecology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.