Organization Active NPI

Surgeassist, PLLC

  • Surgical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1831630375
Registry record updated Sep 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
SURGEASSIST, PLLC
Practice address
125 N 2ND St Ste 110
#443
Phoenix, AZ 85004-2427
Phone
(602) 338-9745
NPI assigned
Mar 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2017

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

Authorized official

Name
Michelle Silva
Title
Pams Npi Administrator
Phone
(210) 598-4287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

125 N 2ND St Ste 110
#443
Phoenix, AZ 85004-2427

Mailing address

125 N 2ND St Ste 110
#443
Phoenix, AZ 85004-2427

National Provider Directory

National Provider Directory

Locations

125 N 2nd St
Ste 110
Phoenix, AZ 85004
Phone (480) 442-8510

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1831630375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N 2ND ST STE 110",
            "address_2": "#443",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N 2ND ST STE 110",
            "address_2": "#443",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042427",
            "telephone_number": "602-338-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGEASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-4287"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.