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

Organization subpart

No

Name

Mr. Gary W Slater III, CSFANPI 1215276852

Title

Certified Surgical First Assist

Phone

(727) 204-7315

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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, last updated by the provider on May 21, 2024.

{
    "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
• 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

• All providers in Dunedin, FL
• 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.