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PRIME SURGICAL ASSISTING, LLC
NPI 1528013364
Physician Assistant - Surgical in Chandler, AZ

Active since May 23, 2006
2905 W WARNER RD STE 1, CHANDLER, AZ 85224(480) 603-9000 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prime Surgical Assisting, Llc NPPES

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

PRIME SURGICAL ASSISTING, LLC (NPI 1528013364) is a healthcare organization registered as a surgical in Chandler, Arizona and active in the NPI registry since May 2006. The organization lists Gary Trent Fullmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1528013364
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NamePRIME SURGICAL ASSISTING, LLC
Location Address2905 W WARNER RD STE 1Chandler, AZ 85224-1674
Mailing Address3760 E Cotton CtGilbert, AZ 85234-4330 · (480) 216-2231
Phone(480) 603-9000
Organization SubpartNo
Authorized OfficialGary Trent FullmerOwner · (480) 216-2231
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 27, 2018
✔ NPI 1528013364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AZ · P-1257205-6
2905 W WARNER RD STE 1, Chandler, AZ 85224
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Group Practice 1

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prime Surgical Assisting, LLC's NPI number?

The NPI number for Prime Surgical Assisting, LLC is 1528013364. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Prime Surgical Assisting, LLC located?

Prime Surgical Assisting, LLC is located at 2905 W Warner Rd Ste 1, Chandler, AZ 85224. The listed phone number is (480) 603-9000.

What is Prime Surgical Assisting, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Prime Surgical Assisting, LLC was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.