Provider Demographics
NPI:1194259275
Name:SURGASSIST, LLC
Entity type:Organization
Organization Name:SURGASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:STRASSNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN,AGNP,CRNFA
Authorized Official - Phone:636-542-1199
Mailing Address - Street 1:263 FAIRWAY GREEN DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-4271
Mailing Address - Country:US
Mailing Address - Phone:636-542-1199
Mailing Address - Fax:636-594-2022
Practice Address - Street 1:263 FAIRWAY GREEN DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-4271
Practice Address - Country:US
Practice Address - Phone:636-542-1199
Practice Address - Fax:636-594-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-17
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017006743363L00000X
363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty