Premier Surgical Assisting LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

PREMIER SURGICAL ASSISTING LLC

Practice address

10297 SW West Park Ave
Port St Lucie, FL 34987-2118

Phone

(561) 251-1309

Fax

(772) 345-6120

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Kathleen A DuffyNPI 1962529800

Title

Member

Phone

(561) 251-1309

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.

• Kathleen A Duffy, CERTIFIED SURGICAL F

  • Surgical Physician Assistant
  • Port St Lucie, FL
  • NPI 1962529800
  NPD (past) Authorized official

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1972958767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10297 SW WEST PARK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872118",
            "telephone_number": "561-251-1309",
            "fax_number": "772-345-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10297 SW WEST PARK AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872118",
            "telephone_number": "561-251-1309",
            "fax_number": "772-345-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-251-1309"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.