Level One Surgical

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

LEVEL ONE SURGICAL

Practice address

2905 Fallstaff Rd
Apt. 21
Baltimore, MD 21209-3275

Phone

(410) 419-9194

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Samuel James Hertig, CSA

Title

President

Phone

(410) 419-9194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1790083418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 FALLSTAFF RD",
            "address_2": "APT. 21",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093275",
            "telephone_number": "410-419-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 FALLSTAFF RD",
            "address_2": "APT. 21",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093275",
            "telephone_number": "410-419-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVEL ONE SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "HERTIG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-419-9194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Surgical Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.