Certified Surgical First Assistant
NPI 1457714388ActiveOrganization· Physician Assistant, Surgical· Chandler, AZ
Physician Assistant, Surgical in Chandler, Arizona, registered in NPPES in March 2016. The authorized official on file is Kathleen E. Bagwell, General Manager.
Overview
| NPI | 1457714388 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 29, 2016 |
| Last updated in NPPES | Jan 11, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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