Asd Surgical Services

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

3353 Issued in TX

Legal business name

ASD SURGICAL SERVICES

Practice address

4807 San Remo Dr
Mansfield, TX 76063-8643

Phone

(817) 300-5810

Fax

(817) 477-4345

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Sharp-Davis, CSA/SA-CNPI 1982899019

Title

Certified Surgical Assistant

Phone

(817) 300-5810

Specialties & licenses 1

Addresses

Other names 1

• Angela sharp-davis Doing business as

Practitioners 1

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

• Angela Sharp-Davis, CSA/SA-C

  • Surgical Assistant
  • Mansfield, TX
  • NPI 1982899019
  NPD (past) Authorized official

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1922237239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 SAN REMO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638643",
            "telephone_number": "817-300-5810",
            "fax_number": "817-477-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 SAN REMO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638643",
            "telephone_number": "817-300-5810",
            "fax_number": "817-477-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASD SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "SHARP-DAVIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CERTIFIED SURGICAL ASSISTANT",
        "authorized_official_telephone_number": "817-300-5810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSA/SA-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela sharp-davis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Surgical Assistant in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.