ON-CALL SURGICAL ASSISTANTS LLC NPI 1023296381

Physician Assistant (Surgical) in Phoenix, AZ

NPI 1023296381 Organization Physician Assistant Surgical

About ON-CALL SURGICAL ASSISTANTS LLC

On-call Surgical Assistants Llc is a provider established in Phoenix, Arizona specializing in physician assistant (surgical) . The NPI number of On-call Surgical Assistants Llc is 1023296381 and was assigned on February 2008. The practitioner's primary taxonomy code is 363AS0400X with license number 2021 (AZ). The provider is registered as an organization and their NPI record was last updated 2 years ago. On-call Surgical Assistants Llc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Timothy Troy Holbert Pa-c (Physician Assistant/ President)

NPI

1023296381

Provider NameON-CALL SURGICAL ASSISTANTS LLC
Provider Location Address5710 W SPUR DR PHOENIX, AZ 85083
Provider Mailing AddressPO BOX 12546 GLENDALE, AZ 85318
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-08-2008
Last Update Date08-19-2019


Primary Taxonomy

Taxonomy Code363AS0400X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationSurgical
License No.2021
License StateAZ

Business Address

ON-CALL SURGICAL ASSISTANTS LLC
5710 W SPUR DR
PHOENIX, AZ
ZIP 85083
Phone: (623) 229-4674

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Mailing Address

ON-CALL SURGICAL ASSISTANTS LLC
PO BOX 12546
GLENDALE, AZ
ZIP 85318
Phone: (623) 229-4674



Authorized Official

Authorized Official NameMR. TIMOTHY TROY HOLBERT PA-C
Authorized Official TitlePHYSICIAN ASSISTANT/ PRESIDENT
Authorized Official Phone(623) 229-4674

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.