Active NPI
Smith Surgical Assisting, LLC
- Surgical Assistant
- Louisville, KY
National Provider Identifier
1790062495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA218
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca K Smith, KCSA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Surgical Assistant
- Louisville, KY
- NPI 1487951810
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
- Smith & Associates Counseling PLLC (Smith & Associates Psychotherapy Services)
- Smith Chiropractic, PLLC
- April Diane Smith English, MFTA, MSCFT, MSSW
- Smith Family Medical Healthcare PLLC
- Nina L Smith Johnson, DNP, APRN, FNP-C
- Melanie Smith-Alexander
- Lorrie Smith-Esterle, DNP, PMHNP-BC
- Aaron M Smith, MD
- Abigail Katherine Smith, MSSW
- Abigail R Smith, RD, CSO, LD
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.