Gulf Coast Surgical Assisting PA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

GULF COAST SURGICAL ASSISTING PA

Practice address

516 Crystal Dr
Madeira Beach, FL 33708-2373

Phone

(727) 548-9757

Fax

(888) 329-6432

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Kennedy, CSTNPI 1134308455

Title

President

Phone

(727) 442-6086

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle L Kennedy, CST

  • Surgical Technologist
  • Madeira Beach, FL
  • NPI 1134308455
  NPD (past) Authorized official

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1871772194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 CRYSTAL DR",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082373",
            "telephone_number": "727-548-9757",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 CRYSTAL DR",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337082373",
            "telephone_number": "727-548-9757",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SURGICAL ASSISTING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-442-6086",
        "authorized_official_credential": "CST"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Destefano
• Encompass Healthcare Group, Inc.
• Rebecca Klopp Fedor, MEDCCCSLP
• Robert P Fedor, D.O.
• Sharon Gerson, ARNP
• Emily Handren, LPC
• Aimee Harscher, PHARM. D
• Donna Mae Heburn, APRN
• Adison Herring
• Lisa Hudson Herron, ARNP

• Surgical Technologist in Madeira Beach, FL
• Providers in Madeira Beach, FL by specialty
• Surgical Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.