EASTERN SURGICAL ASSISTANTS, LLC


Address: 16427 Metro Ave, Bonner Springs, KS 66012-7108
Phone: 2406023922

EASTERN SURGICAL ASSISTANTS, LLC (NPI# 1053446708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053446708
Entity Type Organization
Organization Name EASTERN SURGICAL ASSISTANTS, LLC
Practice Address 16427 Metro Ave
Bonner Springs
KS 66012-7108
Mailing Address Po Box 587
Basehor
KS 66007-0587
Practice Telephone 2406023922
Enumeration Date 2007-02-22
Last Update Date 2012-08-27
Authorized Official Name MR. ANDREW BURNETT (SURGICAL ASSISTANT - CERTIFIED)
Authorized Official Telephone 2406023922
Authorized Official Credential SA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
06-265 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 16427 METRO AVE
City BONNER SPRINGS
State KS
Zip Code 66012-7108

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1427137702 Jacqueline Liana Puno Physical Therapist 13035 Kansas Ave, Bonner Springs, KS 66012 2006-11-06
1679616973 Geraldine Lee Heckart Social Worker 134 N 130th St, #c Sunny Days Clinical Services, Bonner Springs, KS 66012 2007-02-15
1942341565 City of Bonner Springs Ambulance 205 E 2nd St, Bonner Springs, KS 66012-1001 2007-02-08
1649319864 Gregory Karl Gomer Chiropractor 216 E 2nd St, Bonner Springs, KS 66012-1002 2007-02-05
1154656148 Blum Family Dentistry, L.L.C. Dentist 216 E 2nd St, Bonner Springs, KS 66012-1002 2009-10-08
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1457446437 Degolers Inc Pharmacy 202 Oak St, Bonner Springs, KS 66012-1029 2006-10-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023675725 Jordan Levi Walter Physician Assistant Associated Urologsits P A, 1133 College Ave G100, Manhattan, KS 66502-2756 2019-05-29
1316217102 Tina L Lee Physician Assistant 15263 Sweetbriar Dr, Basehor, KS 66007-3031 2012-01-10
1407098395 Kara Leigh-lawless Boyd Physician Assistant 3651 College Boulevard, Leawood, KS 66211 2009-03-24
1730223785 Ty M. Taylor Physician Assistant 8321 Alden St, Lenexa, KS 66215-4213 2007-02-16
1366457038 Gustav Thomas Riemer Physician Assistant 9119 W. 74th Street, Suite 354, Shawnee Mission Medical Building, Merriam, KS 66204 2006-07-30
1699795112 Kenneth Brian Filsinger Physician Assistant 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 2006-07-20
1962435552 Gregory Bryan De Laney Physician Assistant 1431 Bluffview St Ste 210, Wichita, KS 67218-3039 2006-07-08
1538122973 Leah Alpers Physician Assistant 351 W 10th St, Hoisington, KS 67544-1715 2006-04-07
1275596611 Anne Linenberger Physician Assistant 1514 K 96 Highway, Great Bend, KS 67530 2006-04-07
1669433652 Mark Lee Pemberton Physician Assistant 9119 W 74th St Ste 260, Shawnee Mission, KS 66204-2268 2006-03-29
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Competitor

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City BONNER SPRINGS
Zip Code 66012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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