HW Surgical Assist, PLLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

6403 Issued in AZ

Legal business name

HW SURGICAL ASSIST, PLLC

Practice address

4057 E Laurel Ave
Gilbert, AZ 85234

Phone

(616) 894-2441

NPI assigned

May 7, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Mark Byker, PA-C

Title

Owner/Operator

Phone

(616) 894-2441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1912496712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26904",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850686904",
            "telephone_number": "480-596-8525",
            "fax_number": "480-596-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 E LAUREL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "616-894-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HW SURGICAL ASSIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "BYKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "616-894-2441",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Surgical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.