SQUARE ONE SURGICAL ASSOCIATES NPI 1366183097

NPI Information

NPI: 1366183097
Provider Name: SQUARE ONE SURGICAL ASSOCIATES

Other Name: ANDREW SHERIDAN

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
15524 GOLDEN RIDGE CT
CHESTERFIELD, MO
ZIP 63017
Phone: (636) 346-8182
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SQUARE ONE SURGICAL ASSOCIATES is a surgical physician assistant in Chesterfield, MO. SQUARE ONE SURGICAL ASSOCIATES NPI is 1366183097. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Andrew Sheridan.

The provider's business location address is:

15524 GOLDEN RIDGE CT
CHESTERFIELD, MO
ZIP 63017-124
Phone: (636) 346-8182

The provider's authorized official is Andrew Sheridan .
The authorized official title is Csfa and has the following contact phone number (636) 346-8182.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 5/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	208600000X	Surgery		No
2	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant	No
3	363AS0400X	Physician Assistant	Surgical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1710444872	OTHER		NPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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