Provider Demographics
NPI:1124154745
Name:SURGEONS CHOICE FIRST ASSISTING INC
Entity type:Organization
Organization Name:SURGEONS CHOICE FIRST ASSISTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEDALIS
Authorized Official - Suffix:
Authorized Official - Credentials:CST/CSFA
Authorized Official - Phone:614-824-5200
Mailing Address - Street 1:893 MENDES CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-3506
Mailing Address - Country:US
Mailing Address - Phone:614-824-5200
Mailing Address - Fax:888-329-6432
Practice Address - Street 1:893 MENDES CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-3506
Practice Address - Country:US
Practice Address - Phone:614-824-5200
Practice Address - Fax:888-329-6432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.231212163WR0006X
OH246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty
No163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Multi-Specialty