NPIMap

Organization Active NPI

Lotus Surgical Assistants, Inc.

  • Surgical Physician Assistant
  • Marietta, GA
National Provider Identifier
1962883082
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
003278 Issued in GA
Legal business name
LOTUS SURGICAL ASSISTANTS, INC.
Practice address
833 Campbell Hill St NW
Suite 280
Marietta, GA 30060-1134
Phone
(770) 485-7628
Fax
(678) 403-1081
NPI assigned
Jun 15, 2015
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Ms. Catherine Frysh, PA
Title
Owner
Phone
(770) 485-7628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X 003278 GA Primary

Addresses

Primary practice location

833 Campbell Hill St NW
Suite 280
Marietta, GA 30060-1134

Mailing address

PO Box 931914
Atlanta, GA 31193-1914
Phone (706) 660-8505

National Provider Directory

National Provider Directory
Tax ID family
Lotus Surgical Assistants Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

833 Campbell Hill St NW
Ste 280
Marietta, GA 30060
Phone (770) 485-7628

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1962883082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931914",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931914",
            "telephone_number": "706-660-8505",
            "fax_number": "706-660-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW",
            "address_2": "SUITE 280",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-485-7628",
            "fax_number": "678-403-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS SURGICAL ASSISTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "FRYSH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-485-7628",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.