Provider Demographics
NPI:1043345358
Name:PROFESSIONAL SURGICAL ASSISTANTS, INC.
Entity Type:Organization
Organization Name:PROFESSIONAL SURGICAL ASSISTANTS, INC.
Other - Org Name:PSA, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NAPIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-781-4828
Mailing Address - Street 1:1945 SCOTTSVILLE RD STE B2 PMB 397
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5836
Mailing Address - Country:US
Mailing Address - Phone:270-781-4828
Mailing Address - Fax:270-781-4828
Practice Address - Street 1:1945 SCOTTSVILLE RD STE B2 PMB 397
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-5836
Practice Address - Country:US
Practice Address - Phone:270-781-4828
Practice Address - Fax:270-781-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty