Advanced Surgical Evolutions

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

ADVANCED SURGICAL EVOLUTIONS

Practice address

1141 Palm Blvd
Dunedin, FL 34698-2237

Phone

(727) 204-7315

NPI assigned

Feb 5, 2013

Last updated

May 21, 2024By 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

Mr. Gary W Slater III, CSFANPI 1215276852

Title

Certified Surgical First Assist

Phone

(727) 204-7315

Specialties & licenses 2

Addresses

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.

• Gary Wallace Slater III, CSFA

  • Surgical Physician Assistant
  • Dunedin, FL
  • NPI 1215276852

  Surgical Assistant

  NPD Authorized official

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1780923110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346971142",
            "telephone_number": "727-204-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PALM BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982237",
            "telephone_number": "727-204-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL EVOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL FIRST ASSIST",
        "authorized_official_telephone_number": "727-204-7315",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "129713",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ackerman Enterprises, LLC (Curlew Care Home 1)
• Corrie E Ackerman, PA-C
• Michelle Nichole Acosta, PA-C
• Julie Maria Adams, CRNA
• Advanced Anesthesia Associates LLC
• Aegis Group Practice LLC
• Melanie Aganon
• Carl Ahonen, LMFT
• Maurice Warren Aiken, D.P.M.
• Christiana Collier Ajmo, DMD

• Surgical Physician Assistant in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.