Provider Demographics
NPI:1043987167
Name:NORTHERN SURGICAL ASSOCIATES
Entity type:Organization
Organization Name:NORTHERN SURGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:GUENTHART
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-825-1333
Mailing Address - Street 1:16360 MONTEREY RD STE 280
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5496
Mailing Address - Country:US
Mailing Address - Phone:408-825-1333
Mailing Address - Fax:408-825-1333
Practice Address - Street 1:16360 MONTEREY RD STE 280
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5496
Practice Address - Country:US
Practice Address - Phone:408-825-1333
Practice Address - Fax:408-825-1333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the HandGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty