Sejongsa

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Legal business name

SEJONGSA

Practice address

51 Illsley St
Portland, ME 04103-5110

Phone

(888) 322-6432

Fax

(888) 329-6432

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Sejong Park, CST AS-CNPI 1962671545

Title

Owner

Phone

(888) 322-6432

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.

• SE Jong Park, CST AS-C

  • Surgical Assistant
  • Portland, ME
  • NPI 1962671545
  NPD (past) Authorized official

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1952573313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ILLSLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035110",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ILLSLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035110",
            "telephone_number": "888-322-6432",
            "fax_number": "888-329-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEJONGSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SEJONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-322-6432",
        "authorized_official_credential": "CST  AS-C"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Scott Segal, M.D.
• Irene O Segarra, PA-C
• Mark C Segerstrom, D.C.
• Michelle E Segovias, MS, OTR/L
• Tiffany P Segre, MD
• Walter Raymond Selens, L.M.T.
• Svenja Seligman, ACNP
• Ann Marie Sellinger, C.R.N.A.
• Holly Del Selva, BCAT, RBT
• Seneca Behavioral Health, Inc.

• Surgical Assistant in Portland, ME
• Providers in Portland, ME by specialty
• Surgical Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.