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CERTIFIED SURGICAL FIRST ASSISTANT
NPI 1457714388
Physician Assistant - Surgical in Chandler, AZ

Active since March 29, 2016
2925 E RIGGS RD, STE 8-166, CHANDLER, AZ 85249(480) 545-2610(480) 545-2673 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 11, 2022, Mar 29, 2016 (2 updates tracked since 2016).

About Certified Surgical First Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CERTIFIED SURGICAL FIRST ASSISTANT (NPI 1457714388) is a healthcare organization registered as a surgical in Chandler, Arizona and active in the NPI registry since March 2016. The organization lists Kathleen E Bagwell, General Manager, as its authorized official.

NPPES Registry Identity

NPI1457714388
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameCERTIFIED SURGICAL FIRST ASSISTANT
Location Address2925 E RIGGS RD, STE 8-166Chandler, AZ 85249-3600
Mailing Address2925 E Riggs Rd, Ste 8-166Chandler, AZ 85249-3600 · (602) 909-4623 · Fax (480) 545-2673
Phone(480) 545-2610
Fax(480) 545-2673
Organization SubpartNo
Authorized OfficialKathleen E BagwellGeneral Manager · (480) 545-2610
Enumeration DateMarch 29, 2016
Last NPPES UpdateJanuary 11, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1457714388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
2925 E RIGGS RD, Chandler, AZ 85249
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM WALDEN D.D.S
Dentist (General Practice)
2925 E RIGGS RD, ST #2
CHANDLER, AZ 85249
Maricopa County (480) 755-1661
DR. LUZ MARINA CORNELL PH.D.
Psychologist (Clinical)
2925 E RIGGS RD, # 8-207
CHANDLER, AZ 85249
Maricopa County (954) 205-3186
TLC NEUROLOGICAL SERVICES, LLC
Specialist/Technologist, Other (EEG)
2925 E RIGGS RD, STE. 8127
CHANDLER, AZ 85249
Maricopa County (866) 639-3919
WALDEN DENTAL GROUP
Dentist (General Practice)
2925 E RIGGS RD, SUITE 2
CHANDLER, AZ 85249
Maricopa County (480) 755-1661
MICHAEL ANTHONY CHIECO PA-C
Physician Assistant (Surgical)
2925 E RIGGS RD, SUITE 8-114
CHANDLER, AZ 85249
Maricopa County (480) 513-8032
ADVANCED SURGICAL PHYSICIAN ASSISTANTS, LLC
Physician Assistant (Surgical)
2925 E RIGGS RD, SUITE 8-114
CHANDLER, AZ 85249
Maricopa County (917) 428-1003

Frequently Asked Questions

What is CERTIFIED SURGICAL FIRST ASSISTANT's NPI number?

The NPI number assigned to this healthcare provider is 1457714388, enumerated as an "organization" on March 29, 2016.

Where is the provider located?

The provider is located at 2925 E RIGGS RD STE 8-166 CHANDLER, AZ 85249 and the phone number is (480) 545-2610.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.