Organization Active NPI

Smith Surgical Assisting, LLC

  • Surgical Assistant
  • Louisville, KY
National Provider Identifier
1790062495
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA218 Issued in KY
Legal business name
SMITH SURGICAL ASSISTING, LLC
Practice address
3029 Wedgewood Way
Louisville, KY 40220-1731
Phone
(502) 648-0213
Fax
(336) 623-6141
NPI assigned
Nov 8, 2011
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Rebecca K Smith, KCSANPI 1487951810
Title
President
Phone
(336) 623-4545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA218 KY Primary

Addresses

Primary practice location

3029 Wedgewood Way
Louisville, KY 40220-1731

Mailing address

PO Box 148
Eden, NC 27289-0148
Phone (336) 623-4545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1790062495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272890148",
            "telephone_number": "336-623-4545",
            "fax_number": "336-623-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 WEDGEWOOD WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201731",
            "telephone_number": "502-648-0213",
            "fax_number": "336-623-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-623-4545",
        "authorized_official_credential": "KCSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "KY",
            "license": "SA218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.