NPIMap

Organization Active NPI

Primary Surgical First Assisting, Inc

  • Surgical Assistant
  • Olathe, KS
National Provider Identifier
1821287970
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
238.000249 Issued in IL
Legal business name
PRIMARY SURGICAL FIRST ASSISTING, INC
Practice address
823 N Mur Len Rd Apt 201
Olathe, KS 66062-5456
Phone
(913) 205-5735
Fax
(888) 329-6432
NPI assigned
Oct 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dustin S Fisher, CST/CSFA
Title
President
Phone
(913) 205-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X 238.000249 IL Primary

Addresses

Primary practice location

823 N Mur Len Rd Apt 201
Olathe, KS 66062-5456

Mailing address

823 N Mur Len Rd Apt 201
Olathe, KS 66062-5456
Phone (913) 205-5735

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1821287970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 N MUR LEN RD APT 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625456",
            "telephone_number": "913-205-5735",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 N MUR LEN RD APT 201",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625456",
            "telephone_number": "913-205-5735",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY SURGICAL FIRST ASSISTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-205-5735",
        "authorized_official_credential": "CST/CSFA"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.