Provider Demographics
NPI:1881052363
Name:SURGICAL ASSIST, PLC
Entity type:Organization
Organization Name:SURGICAL ASSIST, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SATER
Authorized Official - Suffix:
Authorized Official - Credentials:PAC
Authorized Official - Phone:248-225-6887
Mailing Address - Street 1:4409 GAYLORD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4458
Mailing Address - Country:US
Mailing Address - Phone:248-225-6887
Mailing Address - Fax:
Practice Address - Street 1:4409 GAYLORD DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-4458
Practice Address - Country:US
Practice Address - Phone:248-225-6887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty