Provider Demographics
NPI:1760972954
Name:SURGICAL FIRST ASSISTING LLC
Entity Type:Organization
Organization Name:SURGICAL FIRST ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:502-821-2896
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40071-0489
Mailing Address - Country:US
Mailing Address - Phone:502-821-2896
Mailing Address - Fax:502-473-6399
Practice Address - Street 1:360 DEER CREEK LN
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40071-8271
Practice Address - Country:US
Practice Address - Phone:502-821-2896
Practice Address - Fax:502-473-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty