Provider Demographics
NPI:1346736030
Name:OASIS SURGICAL BILLING COMPANY LLC
Entity Type:Organization
Organization Name:OASIS SURGICAL BILLING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRATER
Authorized Official - Suffix:
Authorized Official - Credentials:CST
Authorized Official - Phone:770-687-9068
Mailing Address - Street 1:800 KENNESAW AVE NW
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1051
Mailing Address - Country:US
Mailing Address - Phone:770-687-9068
Mailing Address - Fax:
Practice Address - Street 1:800 KENNESAW AVE NW
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1051
Practice Address - Country:US
Practice Address - Phone:770-687-9068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA163WR0006X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty