Organization Active NPI

Associate Surgeon Network LLC

  • Surgical Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1861452310
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
ASSOCIATE SURGEON NETWORK LLC
Practice address
1150 Campo Sano Ave
Suite
Coral Gables, FL 33146-1174
Phone
(305) 669-3320
Fax
(305) 669-3324
NPI assigned
Mar 27, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Martha C Ortiz
Title
Senior VP of Revenue Cycle
Phone
(954) 874-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X FL Primary

Addresses

Primary practice location

1150 Campo Sano Ave
Suite
Coral Gables, FL 33146-1174

Mailing address

2901 SW 149TH Ave
Suite 400
Miramar, FL 33027-4153
Phone (954) 874-4600

National Provider Directory

National Provider Directory

Locations

2901 SW 149th Ave
Ste 400
Miramar, FL 33027
Phone (954) 874-4603

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1861452310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SW 149TH AVE",
            "address_2": "SUITE 400",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274153",
            "telephone_number": "954-874-4600",
            "fax_number": "786-594-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 CAMPO SANO AVE",
            "address_2": "SUITE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461174",
            "telephone_number": "305-669-3320",
            "fax_number": "305-669-3324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATE SURGEON NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SENIOR VP OF REVENUE CYCLE",
        "authorized_official_telephone_number": "954-874-4600"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.