Provider Demographics
NPI:1821533555
Name:SELECT SURGICAL ASSISTING LLC
Entity Type:Organization
Organization Name:SELECT SURGICAL ASSISTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KEESEE
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:740-464-2063
Mailing Address - Street 1:1045 ARUNDEL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-1188
Mailing Address - Country:US
Mailing Address - Phone:740-464-2063
Mailing Address - Fax:
Practice Address - Street 1:1045 ARUNDEL AVE
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-1188
Practice Address - Country:US
Practice Address - Phone:740-464-2063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty