Provider Demographics
NPI:1588815237
Name:SURGICAL FIRST ASSISTING INC
Entity Type:Organization
Organization Name:SURGICAL FIRST ASSISTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:614-571-5445
Mailing Address - Street 1:7132 LANCASTER CIRCLEVILLE RD SW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-9203
Mailing Address - Country:US
Mailing Address - Phone:614-571-5445
Mailing Address - Fax:614-317-4084
Practice Address - Street 1:7132 LANCASTER CIRCLEVILLE RD SW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-9203
Practice Address - Country:US
Practice Address - Phone:614-571-5445
Practice Address - Fax:614-317-4084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty