Surgipa Health, LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

SURGIPA HEALTH, LLC

Practice address

8115 Maple Lawn Blvd
Suite 350
Fulton, MD 20759

Phone

(240) 393-0187

Fax

(240) 393-0187

NPI assigned

Aug 2, 2025

Last updated

Oct 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel ShiferawNPI 1184763591

Title

Founder/Owner/Ceo

Phone

(240) 393-0187

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Shiferaw, PA-C

  • Physician Assistant
  • Takoma Park, MD
  • NPI 1184763591

  Surgical

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1881578870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD STE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592683",
            "telephone_number": "240-393-0187",
            "fax_number": "240-393-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MAPLE LAWN BLVD",
            "address_2": "SUITE 350",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "20759",
            "telephone_number": "240-393-0187",
            "fax_number": "240-393-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGIPA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "SHIFERAW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FOUNDER/OWNER/CEO",
        "authorized_official_telephone_number": "240-393-0187"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard Medical Home Healthcare, LLC
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• Mycala Strong
• Nutaporn Sukontasup, OD
• Summit Ambulatory Surgical Center, LLC
• Loretta Sutphin, M.D.
• Nicole Swan
• Samantha M Swords, MD
• Synergy Therapy, LLC (Synergy Physical Therapy)
• The Smile Wizards

• Surgical Physician Assistant in Fulton, MD
• Providers in Fulton, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.